| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $410.44 | $410.44 | $410.44 | |
Aetna
| Professional | $143.31 | $268.91 | $410.44 | |
BCBS
| Facility | $418.56 | $441.95 | $484.39 | |
BCBS
| Professional | $457.81 | $457.81 | $457.81 | |
Cigna
| Facility | $278.04 | $278.04 | $278.04 | |
Cigna
| Professional | $202.97 | $278.04 | $721.88 | |
Medica
| Facility | $143.31 | $399.46 | $2,319.50 | |
Medica
| Professional | $147.99 | $247.28 | $633.23 | |
United
| Facility | $0.35 | $234.07 | $396.53 | |
United
| Professional | $147.99 | $239.04 | $352.07 |