| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $163.55 | $261.67 | $1,203.64 | |
Aetna
| Professional | $161.36 | $161.36 | $163.55 | |
BCBS
| Facility | $220.23 | $295.77 | $428.45 | |
BCBS
| Professional | $207.16 | $207.16 | $261.67 | |
Cigna
| Facility | $115.97 | $141.74 | $222.65 | |
Cigna
| Professional | $97.13 | $250.69 | $313.36 | |
Medica
| Facility | $113.39 | $113.39 | $1,035.79 | |
Medica
| Professional | $91.59 | $91.59 | $228.96 | |
United
| Facility | $130.84 | $155.19 | $272.58 | |
United
| Professional | $91.59 | $91.59 | $130.84 |