| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $211.31 | $418.24 | $646.26 | |
Aetna
| Professional | $151.80 | $176.09 | $216.57 | |
BCBS
| Professional | $186.36 | $186.36 | $186.36 | |
Cigna
| Facility | $164.58 | $381.00 | $798.61 | |
Cigna
| Professional | $95.57 | $229.50 | $362.67 | |
Medica
| Facility | $165.97 | $204.03 | $292.37 | |
Medica
| Professional | $85.01 | $121.44 | $1,012.00 | |
United
| Professional | $85.01 | $121.44 | $421.15 |