| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $97.24 | $103.58 | $194.28 | |
BCBS
| Professional | $16.13 | $17.28 | $17.28 | |
Cigna
| Facility | $123.59 | $123.59 | $209.58 | |
Cigna
| Professional | $105.05 | $123.59 | $222.38 | |
Medica
| Facility | $100.84 | $201.67 | $886.11 | |
Medica
| Professional | $79.66 | $145.65 | $235.28 | |
United
| Professional | $79.66 | $129.01 | $224.08 |