| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $178.74 | $178.74 | $178.74 | |
Aetna
| Professional | $178.74 | $178.74 | $180.95 | |
BCBS
| Facility | $146.33 | $146.33 | $146.33 | |
Cigna
| Facility | $147.94 | $174.85 | $188.30 | |
Cigna
| Professional | $187.57 | $187.57 | $187.57 | |
Medica
| Facility | $178.74 | $187.57 | $223.43 | |
Medica
| Professional | $790.40 | $790.40 | $790.40 |