| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $454.08 | $454.08 | $454.08 | |
Aetna
| Professional | $161.51 | $316.13 | $505.82 | |
BCBS
| Facility | $146.38 | $154.08 | $163.90 | |
BCBS
| Professional | $169.49 | $169.49 | $169.49 | |
Cigna
| Facility | $344.22 | $344.22 | $344.22 | |
Cigna
| Professional | $251.28 | $344.22 | $771.09 | |
Medica
| Facility | $161.51 | $486.70 | $2,561.73 | |
Medica
| Professional | $166.79 | $335.08 | $771.53 | |
United
| Professional | $200.85 | $301.27 | $396.79 |