| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $136.68 | $221.10 | $598.50 | |
Aetna
| Professional | $99.75 | $112.50 | $127.50 | |
BCBS
| Facility | $56.38 | $214.10 | $339.16 | |
BCBS
| Professional | $72.50 | $105.46 | $510.80 | |
Cigna
| Facility | $109.49 | $263.25 | $438.75 | |
Medica
| Facility | $100.50 | $150.00 | $270.58 | |
Medica
| Professional | $63.00 | $63.00 | $750.00 | |
United
| Professional | $63.00 | $63.00 | $90.00 |