| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $256.02 | $256.02 | $256.02 | |
Aetna
| Professional | $217.15 | $268.56 | $349.07 | |
BCBS
| Professional | $38.72 | $42.67 | $42.67 | |
Cigna
| Facility | $318.39 | $318.39 | $318.39 | |
Cigna
| Professional | $270.64 | $270.64 | $318.39 | |
Medica
| Facility | $44.83 | $102.55 | $336.03 | |
Medica
| Professional | $15.45 | $25.15 | $232.34 | |
United
| Professional | $15.45 | $24.72 | $232.34 |