| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $131.11 | $174.81 | $419.54 | |
Aetna
| Professional | $129.36 | $129.36 | $187.05 | |
BCBS
| Professional | $166.07 | $166.07 | $166.07 | |
Cigna
| Facility | $113.63 | $113.63 | $467.02 | |
Cigna
| Professional | $77.81 | $129.33 | $254.91 | |
Medica
| Facility | $131.11 | $220.26 | $288.44 | |
Medica
| Professional | $73.42 | $73.53 | $262.22 | |
United
| Professional | $73.42 | $73.53 | $111.88 |