| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $104.27 | $175.08 | $456.58 | |
Aetna
| Professional | $85.82 | $85.82 | $456.58 | |
BCBS
| Facility | $72.51 | $285.24 | $474.41 | |
BCBS
| Professional | $75.08 | $109.21 | $155.62 | |
Cigna
| Facility | $62.81 | $178.51 | $319.83 | |
Cigna
| Professional | $131.75 | $139.59 | $174.49 | |
Medica
| Facility | $59.50 | $84.68 | $543.54 | |
Medica
| Professional | $48.06 | $48.06 | $91.54 | |
United
| Professional | $48.06 | $48.06 | $73.58 |