| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $194.61 | $262.99 | $631.17 | |
Aetna
| Professional | $136.75 | $197.24 | $234.06 | |
BCBS
| Facility | $387.73 | $525.79 | $761.61 | |
BCBS
| Professional | $249.84 | $249.84 | $249.84 | |
Cigna
| Facility | $170.94 | $170.94 | $702.56 | |
Cigna
| Professional | $109.84 | $140.35 | $383.94 | |
Medica
| Facility | $194.61 | $262.99 | $441.82 | |
Medica
| Professional | $110.46 | $110.46 | $394.49 | |
United
| Professional | $110.46 | $110.46 | $168.31 |