| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $157.79 | $346.34 | $690.95 | |
Aetna
| Professional | $116.02 | $139.22 | $1,113.48 | |
BCBS
| Facility | $119.35 | $453.24 | $718.00 | |
BCBS
| Professional | $113.62 | $165.27 | $800.54 | |
Cigna
| Facility | $144.08 | $303.91 | $506.52 | |
Cigna
| Professional | $88.00 | $155.76 | $285.82 | |
Medica
| Facility | $127.62 | $213.31 | $424.77 | |
Medica
| Professional | $103.90 | $147.16 | $1,423.97 | |
United
| Professional | $103.90 | $144.46 | $228.70 |