| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $157.93 | $157.93 | $157.93 | |
Aetna
| Professional | $157.93 | $180.49 | $180.49 | |
BCBS
| Professional | $219.31 | $322.31 | $322.31 | |
Cigna
| Facility | $221.07 | $221.07 | $221.07 | |
Cigna
| Professional | $161.38 | $221.07 | $221.07 | |
Medica
| Facility | $102.53 | $221.09 | $1,741.43 | |
Medica
| Professional | $105.88 | $209.88 | $372.62 | |
United
| Professional | $105.88 | $165.98 | $239.25 |