| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $107.08 | $107.08 | $107.08 | |
Aetna
| Professional | $103.11 | $105.09 | $119.67 | |
BCBS
| Professional | $198.29 | $198.29 | $198.29 | |
Cigna
| Facility | $125.61 | $125.61 | $125.61 | |
Cigna
| Professional | $91.70 | $177.43 | $193.98 | |
Medica
| Facility | $64.75 | $136.01 | $1,045.23 | |
Medica
| Professional | $66.86 | $107.94 | $223.98 | |
United
| Professional | $66.86 | $100.29 | $143.88 |