| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $136.01 | $160.74 | $176.61 | |
Aetna
| Professional | $191.91 | $191.92 | $211.11 | |
BCBS
| Facility | $234.87 | $248.80 | $314.27 | |
Cigna
| Facility | $188.55 | $188.55 | $188.55 | |
Cigna
| Professional | $188.55 | $188.55 | $188.55 | |
Medica
| Facility | $144.53 | $191.92 | $585.00 | |
Medica
| Professional | $153.46 | $177.69 | $193.85 | |
United
| Professional | $159.93 | $198.65 | $202.02 |