| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $116.28 | $116.28 | $116.28 | |
Aetna
| Professional | $75.05 | $76.18 | $116.28 | |
BCBS
| Professional | $192.83 | $192.83 | $192.83 | |
Cigna
| Facility | $128.79 | $128.79 | $128.79 | |
Cigna
| Professional | $94.02 | $128.79 | $173.91 | |
Medica
| Facility | $39.29 | $113.96 | $532.72 | |
Medica
| Professional | $57.99 | $96.86 | $213.84 | |
United
| Professional | $61.41 | $96.86 | $151.94 |