| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $96.82 | $113.45 | $159.44 | |
BCBS
| Professional | $136.15 | $186.95 | $218.19 | |
Cigna
| Facility | $105.00 | $105.00 | $105.00 | |
Cigna
| Professional | $62.08 | $116.88 | $303.00 | |
Medica
| Facility | $36.00 | $171.94 | $237.37 | |
Medica
| Professional | $107.40 | $295.23 | $1,019.28 | |
United
| Professional | $107.40 | $196.90 | $648.94 |