| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $143.03 | $283.10 | $437.44 | |
Aetna
| Professional | $102.75 | $119.19 | $146.59 | |
BCBS
| Professional | $153.72 | $153.72 | $153.72 | |
Cigna
| Facility | $111.40 | $224.41 | $310.43 | |
Cigna
| Professional | $63.47 | $130.96 | $259.05 | |
Medica
| Facility | $91.11 | $137.00 | $184.31 | |
Medica
| Professional | $57.54 | $82.20 | $685.00 | |
United
| Facility | $376.75 | $376.75 | $376.75 | |
United
| Professional | $57.54 | $82.20 | $219.20 |