| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $138.04 | $138.04 | $138.04 | |
Aetna
| Professional | $138.04 | $138.04 | $177.83 | |
BCBS
| Professional | $114.82 | $128.82 | $165.96 | |
Cigna
| Facility | $218.78 | $218.78 | $251.19 | |
Cigna
| Professional | $138.04 | $138.04 | $177.83 | |
Medica
| Facility | $134.90 | $190.55 | $251.19 | |
Medica
| Professional | $134.90 | $134.90 | $151.36 | |
United
| Professional | $125.89 | $165.96 | $239.88 |