| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $89.54 | $89.54 | $89.54 | |
Aetna
| Professional | $89.54 | $103.06 | $120.62 | |
BCBS
| Professional | $80.56 | $97.66 | $113.53 | |
Cigna
| Facility | $138.66 | $138.66 | $138.66 | |
Cigna
| Professional | $104.45 | $104.45 | $104.45 | |
Medica
| Facility | $91.54 | $113.50 | $223.86 | |
Medica
| Professional | $107.26 | $134.55 | $741.56 | |
United
| Professional | $106.95 | $125.21 | $228.32 |