| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $182.45 | $182.45 | $182.45 | |
Aetna
| Professional | $70.06 | $134.69 | $182.45 | |
BCBS
| Professional | $345.95 | $345.95 | $345.95 | |
Cigna
| Facility | $112.73 | $112.73 | $112.73 | |
Cigna
| Professional | $15.59 | $112.73 | $276.56 | |
Medica
| Facility | $70.06 | $163.00 | $955.82 | |
Medica
| Professional | $56.16 | $87.52 | $183.16 | |
United
| Professional | $56.16 | $84.23 | $163.47 |