| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $248.98 | $322.80 | $325.45 | |
Aetna
| Professional | $160.69 | $163.12 | $248.98 | |
BCBS
| Professional | $412.94 | $412.94 | $412.94 | |
Cigna
| Facility | $278.10 | $278.10 | $278.10 | |
Cigna
| Professional | $203.01 | $278.10 | $372.66 | |
Medica
| Facility | $84.12 | $244.10 | $1,140.66 | |
Medica
| Professional | $124.16 | $207.44 | $457.89 | |
United
| Professional | $131.47 | $207.44 | $290.08 |