| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $17.05 | $17.05 | $398.14 | |
Aetna
| Professional | $17.05 | $20.00 | $406.43 | |
BCBS
| Facility | $560.45 | $883.99 | $1,406.75 | |
BCBS
| Professional | $17.85 | $369.60 | $507.51 | |
Cigna
| Professional | $13.01 | $27.90 | $411.45 | |
Medica
| Facility | $17.20 | $154.87 | $515.19 | |
Medica
| Professional | $85.76 | $280.38 | $1,575.44 | |
United
| Professional | $79.36 | $280.38 | $304.13 |