| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $24.78 | $141.18 | $348.66 | |
Aetna
| Professional | $135.94 | $141.18 | $159.34 | |
BCBS
| Professional | $261.44 | $261.44 | $261.44 | |
Cigna
| Facility | $176.58 | $176.58 | $176.58 | |
Cigna
| Professional | $128.90 | $217.32 | $244.34 | |
Medica
| Facility | $85.45 | $179.33 | $1,382.94 | |
Medica
| Professional | $88.24 | $142.31 | $295.30 | |
United
| Professional | $88.24 | $132.35 | $189.88 |