| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $58.41 | $75.40 | $316.48 | |
Aetna
| Professional | $53.10 | $53.10 | $53.10 | |
BCBS
| Facility | $33.50 | $127.20 | $201.51 | |
BCBS
| Professional | $30.00 | $40.00 | $193.75 | |
Cigna
| Facility | $202.80 | $246.62 | $373.37 | |
Cigna
| Professional | $263.57 | $263.57 | $263.57 | |
Medica
| Facility | $32.58 | $58.41 | $296.60 | |
Medica
| Professional | $129.12 | $172.79 | $376.20 | |
United
| Professional | $158.66 | $168.54 | $280.20 |