| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $108.13 | $164.63 | $315.55 | |
BCBS
| Facility | $66.58 | $240.51 | $434.82 | |
BCBS
| Professional | $166.43 | $221.91 | $302.36 | |
Cigna
| Facility | $312.30 | $312.30 | $312.30 | |
Cigna
| Professional | $227.98 | $227.98 | $334.50 | |
Medica
| Facility | $94.35 | $122.06 | $1,271.08 | |
Medica
| Professional | $181.19 | $209.99 | $329.43 | |
United
| Professional | $192.49 | $209.99 | $329.43 |