| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $103.35 | $205.22 | $535.17 | |
Aetna
| Professional | $89.20 | $111.33 | $114.01 | |
BCBS
| Facility | $61.45 | $233.36 | $369.68 | |
BCBS
| Professional | $77.69 | $113.00 | $547.34 | |
Cigna
| Facility | $77.90 | $209.23 | $374.87 | |
Medica
| Facility | $89.87 | $134.13 | $255.46 | |
Medica
| Professional | $56.33 | $56.33 | $667.97 | |
United
| Professional | $56.33 | $56.33 | $80.48 |