| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $38.10 | $240.33 | $480.57 | |
Aetna
| Professional | $237.40 | $237.40 | $241.80 | |
BCBS
| Facility | $43.73 | $58.73 | $85.09 | |
Cigna
| Facility | $241.37 | $241.37 | $241.37 | |
Cigna
| Professional | $241.37 | $241.37 | $241.37 | |
Medica
| Facility | $168.00 | $245.68 | $890.51 | |
Medica
| Professional | $204.73 | $254.30 | $258.61 | |
United
| Professional | $204.73 | $254.30 | $258.61 |