| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $163.34 | $163.34 | $163.34 | |
Aetna
| Professional | $157.29 | $163.34 | $184.14 | |
BCBS
| Professional | $302.48 | $302.48 | $302.48 | |
Cigna
| Facility | $192.25 | $192.25 | $192.25 | |
Cigna
| Professional | $140.34 | $192.25 | $192.25 | |
Medica
| Facility | $104.04 | $207.48 | $1,603.51 | |
Medica
| Professional | $102.33 | $165.14 | $349.70 | |
United
| Professional | $102.33 | $155.77 | $231.21 |