| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $173.17 | $401.75 | $545.69 | |
Aetna
| Professional | $129.88 | $150.66 | $185.29 | |
BCBS
| Facility | $230.89 | $272.50 | $406.44 | |
BCBS
| Professional | $290.31 | $290.31 | $290.31 | |
Cigna
| Facility | $153.08 | $303.45 | $965.90 | |
Cigna
| Professional | $106.46 | $258.27 | $417.00 | |
Medica
| Facility | $138.54 | $232.97 | $411.33 | |
Medica
| Professional | $103.90 | $173.17 | $1,423.97 | |
United
| Professional | $103.90 | $173.17 | $252.24 |