| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $146.91 | $146.91 | $146.91 | |
Aetna
| Professional | $141.47 | $146.91 | $162.93 | |
BCBS
| Professional | $250.29 | $272.06 | $272.06 | |
Cigna
| Facility | $278.10 | $278.10 | $278.10 | |
Cigna
| Professional | $203.01 | $278.10 | $278.10 | |
Medica
| Facility | $84.12 | $154.26 | $1,140.66 | |
Medica
| Professional | $124.16 | $200.83 | $361.67 | |
United
| Professional | $124.16 | $197.27 | $292.17 |