| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $167.42 | $167.42 | $424.12 | |
Aetna
| Professional | $161.22 | $167.42 | $188.74 | |
BCBS
| Professional | $310.02 | $310.02 | $310.02 | |
Cigna
| Facility | $212.98 | $212.98 | $212.98 | |
Cigna
| Professional | $155.47 | $272.49 | $306.37 | |
Medica
| Facility | $101.34 | $212.65 | $1,640.11 | |
Medica
| Professional | $104.64 | $168.77 | $350.19 | |
United
| Professional | $104.64 | $159.65 | $225.20 |