| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $220.47 | $303.00 | $427.54 | |
BCBS
| Facility | $144.71 | $522.77 | $945.15 | |
BCBS
| Professional | $361.78 | $482.38 | $651.21 | |
Cigna
| Facility | $315.25 | $315.25 | $315.25 | |
Cigna
| Professional | $230.13 | $230.13 | $654.75 | |
Medica
| Facility | $162.49 | $368.30 | $2,629.88 | |
Medica
| Professional | $227.26 | $251.69 | $379.14 | |
United
| Professional | $227.26 | $251.69 | $379.14 |