| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $163.55 | $293.37 | $523.34 | |
Aetna
| Professional | $141.74 | $161.36 | $274.29 | |
BCBS
| Facility | $67.29 | $90.37 | $130.90 | |
BCBS
| Professional | $207.16 | $207.16 | $348.54 | |
Cigna
| Facility | $141.74 | $190.30 | $348.57 | |
Cigna
| Professional | $97.13 | $151.33 | $389.29 | |
Medica
| Facility | $161.36 | $272.58 | $421.57 | |
Medica
| Professional | $91.59 | $123.22 | $316.70 | |
United
| Professional | $91.59 | $122.96 | $293.37 |