| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $147.38 | $147.38 | $147.38 | |
Aetna
| Professional | $147.38 | $177.48 | $198.16 | |
BCBS
| Facility | $133.88 | $153.78 | $170.90 | |
BCBS
| Professional | $152.63 | $152.63 | $152.63 | |
Cigna
| Professional | $141.60 | $141.60 | $141.60 | |
Medica
| Facility | $147.38 | $177.48 | $340.58 | |
Medica
| Professional | $142.41 | $169.28 | $235.88 | |
United
| Professional | $143.61 | $172.80 | $261.18 |