| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $31.19 | $155.69 | $2,000.00 | |
Aetna
| Professional | $28.03 | $102.15 | $162.11 | |
BCBS
| Professional | $58.52 | $196.79 | $339.25 | |
Cigna
| Facility | $51.10 | $51.10 | $51.10 | |
Cigna
| Professional | $34.78 | $106.82 | $358.47 | |
Medica
| Facility | $40.54 | $155.69 | $340.28 | |
Medica
| Professional | $183.07 | $340.27 | $1,005.20 | |
United
| Professional | $167.28 | $299.57 | $409.41 |