| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $20.68 | $337.07 | $991.65 | |
Aetna
| Professional | $20.68 | $159.31 | $344.09 | |
BCBS
| Facility | $569.26 | $884.12 | $1,389.13 | |
BCBS
| Professional | $21.72 | $312.20 | $428.70 | |
Cigna
| Professional | $22.59 | $35.86 | $488.64 | |
Medica
| Facility | $20.68 | $95.38 | $455.04 | |
Medica
| Professional | $49.67 | $291.42 | $510.31 | |
United
| Professional | $21.11 | $291.42 | $308.57 |