| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $284.68 | $284.68 | $284.68 | |
Aetna
| Professional | $99.43 | $186.52 | $284.68 | |
BCBS
| Facility | $245.63 | $268.00 | $284.27 | |
BCBS
| Professional | $266.01 | $266.01 | $266.01 | |
Cigna
| Facility | $192.91 | $192.91 | $192.91 | |
Cigna
| Professional | $140.82 | $192.91 | $500.63 | |
Medica
| Facility | $99.43 | $277.07 | $1,609.26 | |
Medica
| Professional | $102.68 | $171.51 | $439.23 | |
United
| Professional | $104.30 | $170.99 | $229.72 |