| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $575.44 | $575.44 | $575.44 | |
Aetna
| Professional | $144.54 | $186.21 | $691.83 | |
BCBS
| Facility | $91.20 | $208.93 | $436.52 | |
BCBS
| Professional | $263.03 | $346.74 | $660.69 | |
Cigna
| Facility | $213.80 | $213.80 | $213.80 | |
Cigna
| Professional | $154.88 | $154.88 | $213.80 | |
Medica
| Facility | $102.33 | $234.42 | $707.95 | |
Medica
| Professional | $123.03 | $158.49 | $1,778.28 | |
United
| Facility | $97.72 | $204.17 | $275.42 | |
United
| Professional | $131.83 | $158.49 | $234.42 |