| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $312.58 | $572.91 | $1,000.27 | |
Aetna
| Professional | $301.27 | $308.42 | $535.66 | |
BCBS
| Facility | $66.64 | $89.15 | $130.90 | |
BCBS
| Professional | $395.94 | $395.94 | $612.54 | |
Cigna
| Facility | $270.91 | $365.73 | $680.71 | |
Cigna
| Professional | $185.61 | $295.39 | $760.51 | |
Medica
| Facility | $308.42 | $520.98 | $823.24 | |
Medica
| Professional | $175.05 | $240.62 | $618.49 | |
United
| Professional | $175.05 | $238.22 | $343.75 |