| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $162.40 | $162.40 | $289.83 | |
Aetna
| Professional | $127.29 | $147.27 | $327.54 | |
BCBS
| Professional | $194.16 | $194.16 | $194.16 | |
Cigna
| Facility | $62.26 | $132.34 | $174.06 | |
Cigna
| Professional | $132.41 | $228.83 | $306.39 | |
Medica
| Facility | $128.84 | $157.97 | $371.14 | |
Medica
| Professional | $145.31 | $194.59 | $935.19 | |
United
| Professional | $145.31 | $187.33 | $298.24 |