| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $247.13 | $329.51 | $790.82 | |
Aetna
| Professional | $243.84 | $243.84 | $352.58 | |
BCBS
| Professional | $313.02 | $313.02 | $329.51 | |
Cigna
| Facility | $214.18 | $214.18 | $880.28 | |
Cigna
| Professional | $133.30 | $242.49 | $480.98 | |
Medica
| Facility | $243.84 | $329.51 | $553.58 | |
Medica
| Professional | $138.38 | $138.38 | $494.27 | |
United
| Professional | $138.38 | $138.38 | $329.51 |