| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $123.80 | $123.80 | $123.80 | |
Aetna
| Professional | $123.80 | $123.80 | $125.04 | |
BCBS
| Professional | $111.64 | $125.58 | $135.99 | |
Cigna
| Facility | $206.79 | $206.79 | $237.81 | |
Cigna
| Professional | $130.84 | $132.15 | $163.55 | |
Medica
| Facility | $126.06 | $185.70 | $233.21 | |
Medica
| Professional | $126.06 | $126.06 | $141.19 | |
United
| Professional | $123.80 | $123.80 | $134.44 |