| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $127.60 | $252.56 | $390.25 | |
Aetna
| Professional | $91.67 | $106.33 | $130.78 | |
BCBS
| Professional | $154.07 | $154.07 | $154.07 | |
Cigna
| Facility | $99.38 | $200.19 | $277.39 | |
Cigna
| Professional | $64.11 | $116.63 | $232.84 | |
Medica
| Facility | $81.28 | $122.22 | $176.55 | |
Medica
| Professional | $51.33 | $90.53 | $611.10 | |
United
| Facility | $336.11 | $336.11 | $336.11 | |
United
| Professional | $51.33 | $73.33 | $183.33 |