| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $111.24 | $111.24 | $163.95 | |
Aetna
| Professional | $107.02 | $107.12 | $111.24 | |
BCBS
| Professional | $206.00 | $206.00 | $206.00 | |
Cigna
| Facility | $121.82 | $121.82 | $121.82 | |
Cigna
| Professional | $88.93 | $121.82 | $121.82 | |
Medica
| Facility | $56.83 | $141.29 | $928.37 | |
Medica
| Professional | $58.68 | $109.39 | $229.75 | |
United
| Professional | $58.68 | $88.03 | $126.28 |