| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $102.42 | $874.00 | $6,245.00 | |
Aetna
| Professional | $22.14 | $72.98 | $93.40 | |
BCBS
| Facility | $111.56 | $149.83 | $217.04 | |
BCBS
| Professional | $35.00 | $93.80 | $128.80 | |
Cigna
| Facility | $200.00 | $200.00 | $200.00 | |
Cigna
| Professional | $25.69 | $49.78 | $115.14 | |
Medica
| Facility | $33.89 | $93.40 | $897.81 | |
Medica
| Professional | $58.89 | $84.06 | $651.16 | |
United
| Facility | $100.00 | $610.00 | $1,883.00 | |
United
| Professional | $58.89 | $84.06 | $89.00 |