| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $190.55 | $190.55 | $190.55 | |
Aetna
| Professional | $177.83 | $223.87 | $363.08 | |
BCBS
| Professional | $354.81 | $354.81 | $354.81 | |
Cigna
| Facility | $288.40 | $288.40 | $288.40 | |
Cigna
| Professional | $213.80 | $213.80 | $478.63 | |
Medica
| Facility | $181.97 | $257.04 | $1,230.27 | |
Medica
| Professional | $123.03 | $190.55 | $489.78 | |
United
| Facility | $186.21 | $338.84 | $426.58 | |
United
| Professional | $123.03 | $186.21 | $269.15 |