| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $331.13 | $331.13 | $331.13 | |
Aetna
| Professional | $169.82 | $229.09 | $331.13 | |
BCBS
| Facility | $363.08 | $380.19 | $398.11 | |
BCBS
| Professional | $416.87 | $416.87 | $416.87 | |
Cigna
| Facility | $251.19 | $251.19 | $251.19 | |
Cigna
| Professional | $181.97 | $181.97 | $501.19 | |
Medica
| Facility | $123.03 | $309.03 | $1,023.29 | |
Medica
| Professional | $128.82 | $213.80 | $2,137.96 | |
United
| Facility | $147.91 | $338.84 | $338.84 | |
United
| Professional | $141.25 | $208.93 | $288.40 |