| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $151.36 | $151.36 | $151.36 | |
Aetna
| Professional | $100.00 | $151.36 | $181.97 | |
BCBS
| Facility | $1.00 | $1.00 | $1.00 | |
Cigna
| Facility | $257.04 | $257.04 | $257.04 | |
Cigna
| Professional | $741.31 | $741.31 | $741.31 | |
Medica
| Facility | $218.78 | $251.19 | $323.59 | |
Medica
| Professional | $190.55 | $302.00 | $575.44 | |
United
| Professional | $162.18 | $275.42 | $501.19 |