| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $408.10 | $408.10 | $408.10 | |
Aetna
| Professional | $142.53 | $267.38 | $408.10 | |
BCBS
| Facility | $396.31 | $417.17 | $443.75 | |
BCBS
| Professional | $438.03 | $438.03 | $438.03 | |
Cigna
| Facility | $312.81 | $312.81 | $312.81 | |
Cigna
| Professional | $228.35 | $312.81 | $717.66 | |
Medica
| Facility | $142.53 | $397.18 | $2,306.87 | |
Medica
| Professional | $147.19 | $245.87 | $629.61 | |
United
| Professional | $147.19 | $245.11 | $329.29 |