| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $199.95 | $632.32 | $1,605.53 | |
Aetna
| Professional | $169.96 | $185.00 | $216.00 | |
BCBS
| Facility | $171.85 | $202.17 | $224.52 | |
BCBS
| Professional | $199.95 | $199.95 | $199.95 | |
Cigna
| Facility | $186.76 | $186.76 | $186.76 | |
Cigna
| Professional | $186.76 | $186.76 | $186.76 | |
Medica
| Facility | $114.68 | $178.03 | $253.56 | |
Medica
| Professional | $178.09 | $196.77 | $200.10 | |
United
| Professional | $178.09 | $196.77 | $266.80 |