| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $257.04 | $257.04 | $257.04 | |
Aetna
| Professional | $123.03 | $177.83 | $275.42 | |
BCBS
| Professional | $380.19 | $380.19 | $380.19 | |
Cigna
| Facility | $309.03 | $309.03 | $309.03 | |
Cigna
| Professional | $229.09 | $229.09 | $331.13 | |
Medica
| Facility | $93.33 | $257.04 | $977.24 | |
Medica
| Professional | $141.25 | $218.78 | $2,137.96 | |
United
| Facility | $165.96 | $229.09 | $295.12 | |
United
| Professional | $147.91 | $218.78 | $346.74 |