| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $364.08 | $364.08 | $364.08 | |
Aetna
| Professional | $135.56 | $238.53 | $364.08 | |
BCBS
| Facility | $549.96 | $573.17 | $609.72 | |
BCBS
| Professional | $544.52 | $544.52 | $544.52 | |
Cigna
| Facility | $295.70 | $295.70 | $295.70 | |
Cigna
| Professional | $215.87 | $295.70 | $662.34 | |
Medica
| Facility | $135.56 | $354.34 | $2,182.33 | |
Medica
| Professional | $139.99 | $219.35 | $561.71 | |
United
| Facility | $0.34 | $221.42 | $351.73 | |
United
| Professional | $139.99 | $219.35 | $306.72 |