| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $332.67 | $332.67 | $332.67 | |
Aetna
| Professional | $214.08 | $294.22 | $572.23 | |
BCBS
| Facility | $140.51 | $507.60 | $917.72 | |
BCBS
| Professional | $351.28 | $468.37 | $638.15 | |
Cigna
| Facility | $336.03 | $336.03 | $336.03 | |
Cigna
| Professional | $245.30 | $245.30 | $635.63 | |
Medica
| Facility | $157.77 | $373.00 | $2,563.00 | |
Medica
| Professional | $220.66 | $244.39 | $368.14 | |
United
| Professional | $220.66 | $244.39 | $368.14 |