| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $150.78 | $317.83 | $511.33 | |
Aetna
| Professional | $102.75 | $119.19 | $146.59 | |
BCBS
| Facility | $178.30 | $189.56 | $284.33 | |
BCBS
| Professional | $177.49 | $177.49 | $199.59 | |
Cigna
| Facility | $111.40 | $257.89 | $396.73 | |
Cigna
| Professional | $130.96 | $130.96 | $199.00 | |
Medica
| Facility | $91.11 | $137.00 | $197.90 | |
Medica
| Professional | $57.54 | $82.20 | $685.00 | |
United
| Professional | $57.54 | $82.20 | $285.07 |