| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $288.01 | $288.01 | $288.01 | |
Aetna
| Professional | $93.74 | $188.70 | $288.01 | |
BCBS
| Facility | $256.95 | $280.35 | $297.38 | |
BCBS
| Professional | $278.27 | $278.27 | $278.27 | |
Cigna
| Facility | $181.86 | $181.86 | $181.86 | |
Cigna
| Professional | $132.76 | $181.86 | $466.88 | |
Medica
| Facility | $93.74 | $280.30 | $1,549.83 | |
Medica
| Professional | $96.80 | $172.71 | $444.33 | |
United
| Facility | $0.23 | $153.10 | $278.25 | |
United
| Professional | $96.80 | $167.73 | $232.39 |