| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $117.56 | $174.00 | $376.20 | |
Aetna
| Professional | $116.00 | $116.00 | $117.56 | |
BCBS
| Facility | $66.64 | $90.37 | $130.90 | |
Cigna
| Facility | $101.89 | $101.89 | $418.77 | |
Cigna
| Professional | $191.31 | $191.31 | $229.21 | |
Medica
| Facility | $116.00 | $156.75 | $263.33 | |
Medica
| Professional | $65.84 | $65.84 | $588.63 | |
United
| Facility | $156.75 | $195.94 | $211.61 | |
United
| Professional | $65.84 | $65.84 | $100.32 |