| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $117.49 | $158.49 | $467.74 | |
Aetna
| Professional | $104.71 | $123.03 | $181.97 | |
BCBS
| Facility | $66.07 | $97.72 | $131.83 | |
Cigna
| Facility | $102.33 | $102.33 | $416.87 | |
Cigna
| Professional | $190.55 | $190.55 | $229.09 | |
Medica
| Facility | $114.82 | $158.49 | $275.42 | |
Medica
| Professional | $66.07 | $66.07 | $588.84 | |
United
| Facility | $66.07 | $158.49 | $186.21 | |
United
| Professional | $66.07 | $66.07 | $102.33 |