| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $121.55 | $121.55 | $179.15 | |
Aetna
| Professional | $115.80 | $117.05 | $121.55 | |
BCBS
| Professional | $153.16 | $225.10 | $225.10 | |
Cigna
| Facility | $138.33 | $138.33 | $203.46 | |
Cigna
| Professional | $100.98 | $100.98 | $252.38 | |
Medica
| Facility | $62.10 | $154.38 | $969.09 | |
Medica
| Professional | $64.12 | $119.53 | $251.05 | |
United
| Professional | $64.12 | $96.19 | $137.99 |