| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $171.97 | $171.97 | $171.97 | |
Aetna
| Professional | $60.43 | $112.67 | $171.97 | |
BCBS
| Facility | $733.24 | $764.19 | $812.89 | |
BCBS
| Professional | $725.98 | $725.98 | $725.98 | |
Cigna
| Facility | $147.05 | $147.05 | $147.05 | |
Cigna
| Professional | $107.35 | $107.35 | $302.33 | |
Medica
| Facility | $60.43 | $167.37 | $981.02 | |
Medica
| Professional | $62.40 | $103.61 | $265.32 | |
United
| Professional | $63.39 | $98.99 | $138.76 |