| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $157.38 | $688.44 | $688.44 | |
BCBS
| Facility | $145.75 | $553.52 | $876.85 | |
BCBS
| Professional | $95.47 | $138.87 | $920.20 | |
Cigna
| Professional | $141.60 | $141.60 | $141.60 | |
Medica
| Facility | $173.12 | $225.05 | $340.58 | |
Medica
| Professional | $126.41 | $146.19 | $260.11 | |
United
| Professional | $122.57 | $147.01 | $253.50 |