| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $80.41 | $450.60 | $696.27 | |
Aetna
| Professional | $163.55 | $211.52 | $277.23 | |
BCBS
| Facility | $379.65 | $403.63 | $605.44 | |
BCBS
| Professional | $325.43 | $325.43 | $325.43 | |
Cigna
| Facility | $177.32 | $410.48 | $1,220.35 | |
Cigna
| Professional | $131.10 | $350.69 | $426.00 | |
Medica
| Facility | $178.81 | $283.02 | $381.38 | |
Medica
| Professional | $91.59 | $176.02 | $1,093.64 | |
United
| Professional | $91.59 | $130.84 | $327.08 |