| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $154.88 | $398.11 | $1,023.29 | |
Aetna
| Professional | $107.15 | $131.83 | $181.97 | |
BCBS
| Facility | $112.20 | $363.08 | $537.03 | |
BCBS
| Professional | $165.96 | $173.78 | $331.13 | |
Cigna
| Facility | $102.33 | $151.36 | $478.63 | |
Cigna
| Professional | $104.71 | $104.71 | $104.71 | |
Medica
| Facility | $131.83 | $199.53 | $346.74 | |
Medica
| Professional | $63.10 | $69.18 | $1,000.00 | |
United
| Facility | $134.90 | $177.83 | $199.53 | |
United
| Professional | $63.10 | $69.18 | $89.13 |