| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $128.00 | $128.00 | $360.00 | |
Aetna
| Professional | $128.00 | $188.00 | $188.00 | |
BCBS
| Professional | $301.05 | $403.00 | $450.00 | |
Cigna
| Professional | $229.63 | $229.63 | $337.10 | |
Medica
| Facility | $120.00 | $134.00 | $360.00 | |
Medica
| Professional | $102.00 | $240.00 | $400.00 | |
United
| Professional | $84.00 | $210.00 | $290.00 |