| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $227.50 | $227.50 | $227.50 | |
Aetna
| Professional | $84.01 | $149.05 | $227.50 | |
BCBS
| Facility | $195.13 | $205.40 | $218.49 | |
BCBS
| Professional | $215.67 | $215.67 | $215.67 | |
Cigna
| Facility | $190.78 | $190.78 | $190.78 | |
Cigna
| Professional | $139.27 | $190.78 | $430.78 | |
Medica
| Facility | $84.01 | $221.40 | $1,353.88 | |
Medica
| Professional | $86.76 | $137.06 | $350.97 | |
United
| Professional | $86.76 | $137.06 | $183.56 |