| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $122.80 | $312.00 | $350.85 | |
Aetna
| Professional | $148.05 | $178.46 | $408.02 | |
BCBS
| Facility | $156.57 | $594.59 | $941.91 | |
BCBS
| Professional | $109.97 | $159.96 | $1,059.93 | |
Cigna
| Facility | $186.76 | $186.76 | $186.76 | |
Cigna
| Professional | $186.76 | $186.76 | $186.76 | |
Medica
| Facility | $154.93 | $199.95 | $333.64 | |
Medica
| Professional | $188.43 | $199.95 | $200.10 | |
United
| Professional | $188.43 | $199.95 | $200.10 |