| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $191.91 | $191.92 | $263.56 | |
BCBS
| Facility | $129.22 | $432.01 | $913.16 | |
BCBS
| Professional | $107.50 | $156.37 | $1,220.82 | |
Cigna
| Facility | $188.55 | $188.55 | $188.55 | |
Cigna
| Professional | $188.55 | $188.55 | $188.55 | |
Medica
| Facility | $161.54 | $191.92 | $274.45 | |
Medica
| Professional | $170.04 | $182.54 | $193.85 | |
United
| Professional | $190.24 | $202.02 | $202.02 |