| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $205.89 | $205.89 | $205.89 | |
Aetna
| Professional | $132.90 | $134.88 | $205.89 | |
BCBS
| Professional | $341.45 | $341.45 | $341.45 | |
Cigna
| Facility | $211.82 | $211.82 | $211.82 | |
Cigna
| Professional | $154.63 | $211.82 | $307.97 | |
Medica
| Facility | $69.56 | $201.80 | $943.35 | |
Medica
| Professional | $102.68 | $171.51 | $378.64 | |
United
| Professional | $108.73 | $171.51 | $269.07 |