| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $131.55 | $175.40 | $420.96 | |
Aetna
| Professional | $129.80 | $129.80 | $187.68 | |
BCBS
| Professional | $166.63 | $166.63 | $166.63 | |
Cigna
| Facility | $114.01 | $114.01 | $468.58 | |
Cigna
| Professional | $70.95 | $90.65 | $255.96 | |
Medica
| Facility | $129.80 | $175.40 | $294.67 | |
Medica
| Professional | $73.67 | $73.67 | $263.10 | |
United
| Professional | $73.67 | $73.67 | $175.40 |