| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $349.80 | $349.80 | $349.80 | |
Aetna
| Professional | $318.00 | $321.18 | $349.80 | |
BCBS
| Facility | $220.56 | $521.07 | $1,288.61 | |
BCBS
| Professional | $224.00 | $275.70 | $651.33 | |
Cigna
| Facility | $318.00 | $318.00 | $318.00 | |
Cigna
| Professional | $318.00 | $318.00 | $318.00 | |
Medica
| Facility | $310.02 | $381.60 | $740.16 | |
Medica
| Professional | $318.00 | $318.00 | $690.06 | |
United
| Professional | $318.00 | $318.00 | $318.00 |