| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $181.10 | $236.55 | $792.97 | |
Aetna
| Professional | $99.06 | $133.16 | $140.69 | |
BCBS
| Facility | $120.90 | $459.16 | $727.37 | |
BCBS
| Professional | $115.11 | $167.43 | $811.00 | |
Cigna
| Facility | $120.82 | $261.41 | $435.69 | |
Cigna
| Professional | $105.33 | $105.33 | $105.33 | |
Medica
| Facility | $133.16 | $198.74 | $345.81 | |
Medica
| Professional | $62.56 | $69.52 | $989.73 | |
United
| Professional | $62.56 | $69.52 | $89.38 |