| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $187.88 | $187.88 | $212.00 | |
Aetna
| Professional | $163.43 | $177.28 | $219.05 | |
BCBS
| Facility | $129.37 | $129.37 | $158.47 | |
BCBS
| Professional | $88.94 | $113.20 | $145.54 | |
Cigna
| Professional | $45.05 | $45.05 | $45.05 | |
Medica
| Facility | $163.43 | $193.52 | $316.33 | |
Medica
| Professional | $161.71 | $161.71 | $161.71 | |
United
| Professional | $161.71 | $161.71 | $161.71 |