| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $158.55 | $325.80 | $781.92 | |
Aetna
| Professional | $162.90 | $162.90 | $241.09 | |
BCBS
| Facility | $108.28 | $147.47 | $213.63 | |
BCBS
| Professional | $309.51 | $309.51 | $309.51 | |
Cigna
| Facility | $175.19 | $211.77 | $421.61 | |
Cigna
| Professional | $116.34 | $172.67 | $467.72 | |
Medica
| Facility | $211.91 | $237.28 | $1,547.55 | |
Medica
| Professional | $66.59 | $136.84 | $325.80 | |
United
| Facility | $190.26 | $190.26 | $190.26 | |
United
| Professional | $66.59 | $136.84 | $195.48 |