| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $177.76 | $177.76 | $177.76 | |
Aetna
| Professional | $177.75 | $177.76 | $181.06 | |
BCBS
| Facility | $96.57 | $129.69 | $187.85 | |
Cigna
| Facility | $175.41 | $175.41 | $175.41 | |
Cigna
| Professional | $175.41 | $175.41 | $175.41 | |
Medica
| Facility | $175.01 | $186.65 | $675.45 | |
Medica
| Professional | $148.87 | $184.91 | $188.04 | |
United
| Professional | $156.69 | $184.91 | $187.09 |