| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $150.00 | $200.00 | $480.00 | |
Aetna
| Professional | $148.00 | $148.00 | $214.00 | |
BCBS
| Facility | $66.64 | $90.37 | $130.90 | |
Cigna
| Facility | $130.00 | $130.00 | $534.29 | |
Cigna
| Professional | $243.41 | $243.41 | $291.63 | |
Medica
| Facility | $148.00 | $195.00 | $336.00 | |
Medica
| Professional | $84.00 | $84.00 | $300.00 | |
United
| Professional | $84.00 | $84.00 | $200.00 |