| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $141.19 | $303.01 | $378.00 | |
Aetna
| Professional | $96.22 | $111.61 | $155.11 | |
BCBS
| Facility | $175.54 | $197.12 | $279.24 | |
BCBS
| Professional | $174.72 | $174.72 | $174.72 | |
Cigna
| Facility | $104.32 | $241.50 | $732.80 | |
Cigna
| Professional | $74.22 | $122.63 | $253.00 | |
Medica
| Facility | $102.63 | $166.51 | $225.28 | |
Medica
| Professional | $53.88 | $104.75 | $641.45 | |
United
| Professional | $53.88 | $76.97 | $211.68 |