| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $134.72 | $775.51 | $1,260.40 | |
Aetna
| Professional | $312.58 | $404.28 | $541.39 | |
BCBS
| Facility | $744.21 | $923.33 | $1,398.85 | |
BCBS
| Professional | $440.91 | $468.08 | $468.08 | |
Cigna
| Facility | $338.91 | $784.56 | $2,382.40 | |
Cigna
| Professional | $256.11 | $684.62 | $832.24 | |
Medica
| Facility | $341.76 | $540.96 | $744.78 | |
Medica
| Professional | $175.05 | $343.75 | $2,135.73 | |
United
| Professional | $175.05 | $250.07 | $372.39 |