| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $275.42 | $275.42 | $275.42 | |
Aetna
| Professional | $141.25 | $190.55 | $302.00 | |
BCBS
| Facility | $257.04 | $275.42 | $275.42 | |
BCBS
| Professional | $316.23 | $316.23 | $316.23 | |
Cigna
| Facility | $213.80 | $213.80 | $213.80 | |
Cigna
| Professional | $154.88 | $154.88 | $407.38 | |
Medica
| Facility | $102.33 | $263.03 | $831.76 | |
Medica
| Professional | $104.71 | $173.78 | $1,778.28 | |
United
| Facility | $120.23 | $281.84 | $281.84 | |
United
| Professional | $117.49 | $169.82 | $234.42 |