| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $109.90 | $109.90 | $260.67 | |
Aetna
| Professional | $251.01 | $260.67 | $294.22 | |
BCBS
| Professional | $482.72 | $482.72 | $482.72 | |
Cigna
| Facility | $321.89 | $336.03 | $336.03 | |
Cigna
| Professional | $245.30 | $245.30 | $635.63 | |
Medica
| Facility | $157.77 | $331.11 | $2,563.00 | |
Medica
| Professional | $162.93 | $262.77 | $545.25 | |
United
| Professional | $162.93 | $244.39 | $350.61 |