| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $312.58 | $562.65 | $1,000.27 | |
Aetna
| Professional | $308.42 | $308.42 | $445.95 | |
BCBS
| Facility | $67.29 | $90.37 | $130.90 | |
BCBS
| Professional | $395.94 | $395.94 | $686.06 | |
Cigna
| Facility | $270.91 | $270.91 | $1,113.44 | |
Cigna
| Professional | $185.61 | $296.51 | $719.42 | |
Medica
| Facility | $308.42 | $416.78 | $700.19 | |
Medica
| Professional | $175.05 | $240.12 | $628.89 | |
United
| Professional | $175.05 | $208.39 | $343.03 |