| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $136.44 | $231.48 | $357.68 | |
Aetna
| Professional | $84.02 | $97.46 | $97.46 | |
BCBS
| Professional | $140.03 | $140.03 | $140.03 | |
Cigna
| Facility | $99.02 | $183.48 | $254.34 | |
Cigna
| Professional | $128.44 | $129.72 | $163.12 | |
Medica
| Facility | $58.25 | $91.86 | $205.00 | |
Medica
| Professional | $47.05 | $67.20 | $190.43 | |
United
| Professional | $57.13 | $67.20 | $190.43 |