| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $273.70 | $273.70 | $273.70 | |
Aetna
| Professional | $179.33 | $181.19 | $273.70 | |
BCBS
| Professional | $382.80 | $382.80 | $382.80 | |
Cigna
| Facility | $312.30 | $312.30 | $312.30 | |
Cigna
| Professional | $227.98 | $312.30 | $418.13 | |
Medica
| Facility | $94.35 | $258.08 | $1,271.08 | |
Medica
| Professional | $139.99 | $219.35 | $503.38 | |
United
| Professional | $146.22 | $219.35 | $333.04 |