| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $242.22 | $436.00 | $775.10 | |
Aetna
| Professional | $238.99 | $238.99 | $242.22 | |
BCBS
| Facility | $108.75 | $147.47 | $213.63 | |
Cigna
| Facility | $209.92 | $225.68 | $527.45 | |
Cigna
| Professional | $143.82 | $370.87 | $463.59 | |
Medica
| Facility | $171.17 | $238.99 | $1,534.06 | |
Medica
| Professional | $135.63 | $184.59 | $380.62 | |
United
| Professional | $135.63 | $161.47 | $206.69 |