| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $764.10 | $764.10 | $764.10 | |
Aetna
| Professional | $19.79 | $159.31 | $487.17 | |
BCBS
| Facility | $46.50 | $181.60 | $286.30 | |
BCBS
| Professional | $15.80 | $104.69 | $292.89 | |
Cigna
| Professional | $21.47 | $102.48 | $474.96 | |
Medica
| Facility | $20.00 | $95.38 | $401.88 | |
Medica
| Professional | $137.34 | $291.42 | $733.95 | |
United
| Professional | $36.81 | $291.42 | $342.85 |