| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $318.45 | $403.54 | $403.54 | |
BCBS
| Facility | $16.34 | $16.34 | $20.42 | |
BCBS
| Professional | $318.58 | $424.78 | $706.20 | |
Cigna
| Facility | $354.55 | $354.55 | $354.55 | |
Cigna
| Professional | $301.37 | $354.55 | $617.63 | |
Medica
| Facility | $229.59 | $403.54 | $2,544.80 | |
Medica
| Professional | $236.14 | $314.86 | $488.55 | |
United
| Professional | $262.38 | $314.86 | $488.55 |