| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $125.89 | $331.13 | $851.14 | |
Aetna
| Professional | $109.65 | $144.54 | $194.98 | |
BCBS
| Facility | $104.71 | $338.84 | $501.19 | |
BCBS
| Professional | $154.88 | $162.18 | $309.03 | |
Cigna
| Facility | $114.82 | $165.96 | $537.03 | |
Medica
| Facility | $120.23 | $162.18 | $331.13 | |
Medica
| Professional | $69.18 | $85.11 | $812.83 | |
United
| Facility | $147.91 | $162.18 | $194.98 | |
United
| Professional | $69.18 | $85.11 | $97.72 |