| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $164.25 | $164.25 | $242.06 | |
Aetna
| Professional | $158.16 | $164.25 | $185.16 | |
BCBS
| Professional | $304.16 | $304.16 | $304.16 | |
Cigna
| Facility | $192.91 | $192.91 | $192.91 | |
Cigna
| Professional | $140.82 | $192.91 | $192.91 | |
Medica
| Facility | $99.43 | $208.62 | $1,609.26 | |
Medica
| Professional | $102.68 | $165.56 | $343.55 | |
United
| Professional | $102.68 | $154.02 | $220.96 |