| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $319.93 | $319.93 | $319.93 | |
Aetna
| Professional | $128.19 | $222.74 | $356.38 | |
BCBS
| Facility | $328.46 | $345.75 | $367.78 | |
BCBS
| Professional | $363.04 | $363.04 | $363.04 | |
Cigna
| Facility | $306.16 | $306.16 | $306.16 | |
Cigna
| Professional | $223.50 | $306.16 | $685.78 | |
Medica
| Facility | $128.19 | $342.89 | $2,089.06 | |
Medica
| Professional | $132.38 | $243.60 | $543.54 | |
United
| Professional | $141.51 | $212.27 | $306.01 |