| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $92.36 | $92.36 | $149.96 | |
Aetna
| Professional | $82.48 | $92.39 | $142.07 | |
BCBS
| Professional | $170.30 | $210.16 | $220.40 | |
Cigna
| Facility | $97.68 | $97.68 | $97.68 | |
Cigna
| Professional | $101.39 | $165.57 | $229.50 | |
Medica
| Facility | $92.36 | $146.63 | $242.06 | |
Medica
| Professional | $94.88 | $169.79 | $1,285.65 | |
United
| Professional | $93.47 | $157.01 | $231.50 |