| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $163.24 | $193.93 | $200.79 | |
Aetna
| Professional | $163.24 | $163.24 | $200.79 | |
BCBS
| Facility | $194.26 | $228.54 | $286.60 | |
BCBS
| Professional | $192.05 | $192.05 | $192.05 | |
Cigna
| Facility | $179.39 | $179.39 | $179.39 | |
Cigna
| Professional | $179.39 | $179.39 | $179.39 | |
Medica
| Facility | $144.97 | $166.72 | $230.46 | |
Medica
| Professional | $176.20 | $192.05 | $197.98 | |
United
| Professional | $176.20 | $192.05 | $197.98 |