| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $290.20 | $290.20 | $290.20 | |
Aetna
| Professional | $101.34 | $190.14 | $290.20 | |
BCBS
| Facility | $258.68 | $272.29 | $289.66 | |
BCBS
| Professional | $285.89 | $285.89 | $285.89 | |
Cigna
| Facility | $212.98 | $212.98 | $212.98 | |
Cigna
| Professional | $155.47 | $212.98 | $510.47 | |
Medica
| Facility | $101.34 | $282.45 | $1,640.11 | |
Medica
| Professional | $104.64 | $174.85 | $335.62 | |
United
| Professional | $104.64 | $174.27 | $234.18 |