| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $125.50 | $149.09 | $154.37 | |
Aetna
| Professional | $125.50 | $125.50 | $154.37 | |
BCBS
| Facility | $148.31 | $174.48 | $270.52 | |
BCBS
| Professional | $146.62 | $146.62 | $146.62 | |
Cigna
| Facility | $137.94 | $137.94 | $137.94 | |
Cigna
| Professional | $55.00 | $137.94 | $137.94 | |
Medica
| Facility | $110.47 | $127.04 | $172.65 | |
Medica
| Professional | $147.65 | $157.69 | $175.84 | |
United
| Professional | $147.65 | $157.69 | $177.18 |