| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $295.14 | $295.14 | $295.14 | |
Aetna
| Professional | $117.28 | $193.37 | $295.14 | |
BCBS
| Facility | $388.63 | $424.01 | $449.75 | |
BCBS
| Professional | $420.87 | $420.87 | $420.87 | |
Cigna
| Facility | $301.51 | $301.51 | $301.51 | |
Cigna
| Professional | $220.10 | $301.51 | $441.56 | |
Medica
| Facility | $99.73 | $289.29 | $1,352.24 | |
Medica
| Professional | $147.19 | $245.87 | $542.78 | |
United
| Professional | $155.86 | $245.87 | $350.16 |