| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $250.20 | $334.61 | $646.15 | |
Aetna
| Professional | $34.54 | $80.76 | $82.45 | |
BCBS
| Facility | $570.86 | $890.36 | $1,396.47 | |
BCBS
| Professional | $93.00 | $93.00 | $93.00 | |
Cigna
| Facility | $200.00 | $200.00 | $200.00 | |
Cigna
| Professional | $22.78 | $54.75 | $109.49 | |
Medica
| Facility | $50.45 | $82.45 | $173.34 | |
Medica
| Professional | $34.92 | $72.09 | $130.68 | |
United
| Professional | $29.49 | $72.09 | $76.33 |