| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $138.90 | $205.58 | $444.48 | |
Aetna
| Professional | $137.05 | $191.25 | $800.00 | |
BCBS
| Facility | $220.23 | $295.77 | $428.45 | |
BCBS
| Professional | $175.94 | $175.94 | $200.02 | |
Cigna
| Facility | $118.83 | $120.38 | $494.76 | |
Cigna
| Professional | $82.57 | $225.89 | $270.64 | |
Medica
| Facility | $137.05 | $185.20 | $322.25 | |
Medica
| Professional | $77.78 | $77.78 | $277.80 | |
United
| Professional | $77.78 | $77.78 | $118.53 |