| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $198.50 | $198.50 | $198.50 | |
Aetna
| Professional | $100.84 | $145.71 | $198.50 | |
BCBS
| Professional | $357.36 | $357.36 | $357.36 | |
Cigna
| Facility | $123.59 | $123.59 | $123.59 | |
Cigna
| Professional | $123.59 | $123.59 | $277.97 | |
Medica
| Facility | $100.84 | $197.72 | $886.11 | |
Medica
| Professional | $63.73 | $120.35 | $235.28 | |
United
| Professional | $63.73 | $109.94 | $210.90 |