| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $187.04 | $197.52 | $205.74 | |
Aetna
| Professional | $164.59 | $164.60 | $205.74 | |
BCBS
| Facility | $177.64 | $198.54 | $208.99 | |
BCBS
| Professional | $187.04 | $187.04 | $187.04 | |
Cigna
| Facility | $175.41 | $175.41 | $175.41 | |
Cigna
| Professional | $175.41 | $175.41 | $175.41 | |
Medica
| Facility | $164.60 | $175.01 | $245.57 | |
Medica
| Professional | $167.36 | $184.91 | $188.04 | |
United
| Professional | $156.69 | $184.91 | $188.04 |