| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $104.71 | $138.04 | $263.03 | |
Aetna
| Professional | $33.88 | $39.81 | $52.48 | |
BCBS
| Facility | $48.98 | $63.10 | $123.03 | |
BCBS
| Professional | $42.66 | $79.43 | $87.10 | |
Cigna
| Professional | $60.26 | $102.33 | $125.89 | |
Medica
| Facility | $19.05 | $63.10 | $251.19 | |
Medica
| Professional | $22.39 | $31.62 | $57.54 | |
United
| Facility | $23.99 | $47.86 | $79.43 | |
United
| Professional | $30.20 | $31.62 | $57.54 |