| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $218.52 | $291.36 | $699.26 | |
Aetna
| Professional | $215.61 | $215.61 | $311.76 | |
BCBS
| Professional | $276.79 | $276.79 | $276.79 | |
Cigna
| Facility | $189.38 | $189.38 | $778.35 | |
Cigna
| Professional | $117.71 | $150.40 | $425.38 | |
Medica
| Facility | $215.61 | $291.36 | $489.48 | |
Medica
| Professional | $122.37 | $122.37 | $437.04 | |
United
| Professional | $122.37 | $122.37 | $186.47 |