| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $239.63 | $387.65 | $1,049.33 | |
Aetna
| Professional | $176.20 | $211.44 | $223.54 | |
BCBS
| Facility | $181.25 | $688.32 | $1,090.40 | |
BCBS
| Professional | $172.56 | $251.00 | $1,215.78 | |
Cigna
| Facility | $175.67 | $427.35 | $769.23 | |
Cigna
| Professional | $120.57 | $154.00 | $316.63 | |
Medica
| Facility | $176.20 | $262.99 | $480.35 | |
Medica
| Professional | $110.46 | $110.46 | $1,309.69 | |
United
| Professional | $110.46 | $110.46 | $157.79 |