| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $96.14 | $96.14 | $141.68 | |
Aetna
| Professional | $92.58 | $96.14 | $108.30 | |
BCBS
| Professional | $178.04 | $178.04 | $178.04 | |
Cigna
| Facility | $112.67 | $112.67 | $112.67 | |
Cigna
| Professional | $82.25 | $112.67 | $112.67 | |
Medica
| Facility | $58.07 | $122.11 | $939.42 | |
Medica
| Professional | $59.97 | $96.91 | $201.09 | |
United
| Professional | $59.97 | $89.95 | $129.05 |