| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $144.41 | $144.41 | $144.41 | |
Aetna
| Professional | $144.41 | $144.41 | $744.11 | |
BCBS
| Facility | $193.80 | $760.91 | $1,267.94 | |
BCBS
| Professional | $161.71 | $235.21 | $468.95 | |
Cigna
| Professional | $119.00 | $119.00 | $119.00 | |
Medica
| Facility | $115.79 | $257.89 | $1,206.97 | |
Medica
| Professional | $168.02 | $196.08 | $322.39 | |
United
| Professional | $169.61 | $194.47 | $322.39 |