| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $244.30 | $442.26 | $650.52 | |
Aetna
| Professional | $175.50 | $203.58 | $250.38 | |
BCBS
| Professional | $108.01 | $108.01 | $270.76 | |
Cigna
| Facility | $190.28 | $440.48 | $561.55 | |
Cigna
| Professional | $223.60 | $223.60 | $339.00 | |
Medica
| Facility | $155.61 | $234.00 | $338.01 | |
Medica
| Professional | $98.28 | $140.40 | $1,170.00 | |
United
| Professional | $98.28 | $140.40 | $374.40 |