| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $208.40 | $260.50 | $625.20 | |
Aetna
| Professional | $195.38 | $195.38 | $278.74 | |
BCBS
| Facility | $218.11 | $295.77 | $428.45 | |
Cigna
| Facility | $169.33 | $169.33 | $228.60 | |
Cigna
| Professional | $317.39 | $317.39 | $380.27 | |
Medica
| Facility | $195.38 | $229.24 | $437.64 | |
Medica
| Professional | $109.41 | $109.41 | $419.41 | |
United
| Professional | $109.41 | $109.41 | $166.72 |