| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $191.92 | $191.92 | $191.92 | |
Aetna
| Professional | $191.91 | $191.91 | $191.92 | |
BCBS
| Professional | $153.83 | $181.61 | $183.24 | |
Cigna
| Facility | $191.92 | $191.92 | $220.71 | |
Cigna
| Professional | $164.59 | $191.92 | $205.73 | |
Medica
| Facility | $170.04 | $191.92 | $575.76 | |
Medica
| Professional | $170.04 | $177.69 | $177.69 | |
United
| Professional | $168.35 | $185.19 | $202.02 |