| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $104.27 | $168.67 | $456.58 | |
Aetna
| Professional | $76.09 | $94.98 | $97.27 | |
BCBS
| Facility | $69.62 | $264.39 | $418.82 | |
BCBS
| Professional | $66.28 | $96.41 | $466.98 | |
Cigna
| Facility | $83.53 | $200.83 | $334.71 | |
Medica
| Facility | $76.67 | $114.43 | $206.84 | |
Medica
| Professional | $48.06 | $48.06 | $572.15 | |
United
| Professional | $48.06 | $48.06 | $68.66 |