| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $256.38 | $256.38 | $256.38 | |
Aetna
| Professional | $205.71 | $244.62 | $300.20 | |
BCBS
| Facility | $202.43 | $318.44 | $631.67 | |
BCBS
| Professional | $260.08 | $325.10 | $325.10 | |
Cigna
| Professional | $215.44 | $336.21 | $485.18 | |
Medica
| Facility | $202.93 | $270.06 | $489.77 | |
Medica
| Professional | $246.14 | $448.60 | $938.56 | |
United
| Professional | $229.32 | $400.08 | $734.43 |