| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $252.54 | $499.86 | $772.39 | |
Aetna
| Professional | $181.43 | $210.45 | $258.83 | |
BCBS
| Professional | $304.94 | $304.94 | $304.94 | |
Cigna
| Facility | $196.71 | $396.24 | $548.63 | |
Cigna
| Professional | $126.86 | $230.93 | $460.52 | |
Medica
| Facility | $160.86 | $241.90 | $349.42 | |
Medica
| Professional | $101.60 | $179.18 | $1,209.50 | |
United
| Professional | $101.60 | $145.13 | $362.85 |