| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $213.80 | $549.54 | $1,412.54 | |
Aetna
| Professional | $181.97 | $213.80 | $263.03 | |
BCBS
| Facility | $173.78 | $562.34 | $831.76 | |
BCBS
| Professional | $263.03 | $269.15 | $524.81 | |
Cigna
| Facility | $154.88 | $208.93 | $776.25 | |
Medica
| Facility | $186.21 | $275.42 | $501.19 | |
Medica
| Professional | $114.82 | $114.82 | $1,380.38 | |
United
| Facility | $245.47 | $275.42 | $331.13 | |
United
| Professional | $114.82 | $114.82 | $165.96 |