| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $165.45 | $355.06 | $1,028.26 | |
Aetna
| Professional | $112.75 | $130.79 | $160.85 | |
BCBS
| Facility | $216.51 | $230.19 | $345.29 | |
BCBS
| Professional | $211.22 | $211.22 | $211.22 | |
Cigna
| Facility | $122.24 | $282.97 | $464.85 | |
Cigna
| Professional | $143.62 | $143.62 | $218.00 | |
Medica
| Facility | $99.97 | $150.33 | $217.15 | |
Medica
| Professional | $63.14 | $90.20 | $751.65 | |
United
| Professional | $63.14 | $90.20 | $225.50 |