| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $176.17 | $176.17 | $222.48 | |
Aetna
| Professional | $158.91 | $171.63 | $222.48 | |
BCBS
| Facility | $173.33 | $182.45 | $188.67 | |
BCBS
| Professional | $171.79 | $171.79 | $171.79 | |
Cigna
| Facility | $149.91 | $152.91 | $158.91 | |
Cigna
| Professional | $151.58 | $158.91 | $189.47 | |
Medica
| Facility | $162.09 | $166.86 | $654.50 | |
Medica
| Professional | $135.08 | $158.91 | $226.69 | |
United
| Professional | $63.57 | $158.91 | $269.87 |