| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $153.55 | $260.94 | $307.10 | |
Aetna
| Professional | $91.10 | $170.96 | $260.94 | |
BCBS
| Professional | $257.01 | $257.01 | $257.01 | |
Cigna
| Facility | $176.75 | $176.75 | $176.75 | |
Cigna
| Professional | $129.03 | $176.75 | $458.91 | |
Medica
| Facility | $91.10 | $253.95 | $1,474.48 | |
Medica
| Professional | $94.08 | $157.21 | $301.70 | |
United
| Professional | $94.08 | $157.21 | $210.54 |