| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $323.59 | $323.59 | $323.59 | |
Aetna
| Professional | $165.96 | $223.87 | $323.59 | |
BCBS
| Facility | $380.19 | $398.11 | $426.58 | |
BCBS
| Professional | $416.87 | $416.87 | $416.87 | |
Cigna
| Facility | $234.42 | $234.42 | $234.42 | |
Cigna
| Professional | $169.82 | $169.82 | $489.78 | |
Medica
| Facility | $120.23 | $302.00 | $1,000.00 | |
Medica
| Professional | $123.03 | $208.93 | $2,089.30 | |
United
| Facility | $144.54 | $331.13 | $331.13 | |
United
| Professional | $138.04 | $199.53 | $275.42 |