| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $104.27 | $168.67 | $456.58 | |
Aetna
| Professional | $85.82 | $85.82 | $456.58 | |
BCBS
| Facility | $64.02 | $251.82 | $418.82 | |
BCBS
| Professional | $66.28 | $96.41 | $137.38 | |
Cigna
| Facility | $75.20 | $185.95 | $334.71 | |
Cigna
| Professional | $66.94 | $139.59 | $174.49 | |
Medica
| Facility | $69.00 | $94.98 | $543.54 | |
Medica
| Professional | $48.06 | $48.06 | $68.66 | |
United
| Professional | $48.06 | $48.06 | $68.66 |