| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $34.60 | $270.89 | $446.40 | |
Aetna
| Professional | $23.47 | $37.71 | $41.44 | |
BCBS
| Facility | $569.26 | $884.12 | $1,389.13 | |
BCBS
| Professional | $24.85 | $40.60 | $55.75 | |
Cigna
| Facility | $200.00 | $200.00 | $200.00 | |
Cigna
| Professional | $18.14 | $31.50 | $58.66 | |
Medica
| Facility | $23.55 | $38.69 | $60.24 | |
Medica
| Facility | AS | $11.05 | $11.05 | $11.05 |
Medica
| Professional | $33.06 | $38.04 | $268.44 | |
United
| Professional | $32.95 | $38.04 | $41.26 |