| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $142.83 | $231.05 | $625.42 | |
Aetna
| Professional | $104.24 | $130.10 | $133.24 | |
BCBS
| Facility | $95.36 | $362.15 | $573.70 | |
BCBS
| Professional | $90.79 | $132.06 | $639.65 | |
Cigna
| Facility | $104.71 | $254.73 | $458.51 | |
Medica
| Facility | $105.02 | $156.75 | $288.60 | |
Medica
| Professional | $65.84 | $65.84 | $780.62 | |
United
| Professional | $65.84 | $65.84 | $94.05 |