| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $134.90 | $346.74 | $912.01 | |
Aetna
| Professional | $114.82 | $134.90 | $208.93 | |
BCBS
| Facility | $109.65 | $354.81 | $537.03 | |
BCBS
| Professional | $165.96 | $173.78 | $331.13 | |
Cigna
| Facility | $104.71 | $134.90 | $371.54 | |
Medica
| Facility | $117.49 | $173.78 | $316.23 | |
Medica
| Professional | $74.13 | $74.13 | $870.96 | |
United
| Facility | $158.49 | $173.78 | $208.93 | |
United
| Professional | $74.13 | $74.13 | $104.71 |