| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $28.56 | $435.91 | $480.32 | |
Aetna
| Professional | $167.71 | $314.69 | $480.32 | |
BCBS
| Facility | $44.15 | $46.47 | $49.44 | |
BCBS
| Professional | $51.12 | $51.12 | $51.12 | |
Cigna
| Facility | $325.37 | $325.37 | $325.37 | |
Cigna
| Professional | $237.52 | $325.37 | $844.69 | |
Medica
| Facility | $167.71 | $467.47 | $2,714.31 | |
Medica
| Professional | $173.18 | $289.37 | $555.41 | |
United
| Professional | $175.91 | $279.73 | $404.24 |