| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $198.64 | $198.64 | $292.77 | |
Aetna
| Professional | $191.28 | $198.64 | $223.94 | |
BCBS
| Professional | $250.29 | $367.85 | $367.85 | |
Cigna
| Facility | $233.26 | $233.26 | $233.26 | |
Cigna
| Professional | $170.28 | $170.28 | $484.50 | |
Medica
| Facility | $120.23 | $255.82 | $1,945.90 | |
Medica
| Professional | $124.16 | $200.23 | $415.49 | |
United
| Professional | $124.16 | $186.23 | $267.18 |