| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $34.96 | $34.96 | $255.00 | |
Aetna
| Professional | $31.76 | $34.96 | $144.57 | |
BCBS
| Facility | $132.79 | $206.26 | $400.03 | |
BCBS
| Professional | $43.82 | $54.77 | $54.77 | |
Cigna
| Facility | $38.40 | $38.40 | $38.40 | |
Cigna
| Professional | $54.16 | $64.38 | $208.61 | |
Medica
| Facility | $48.59 | $61.99 | $291.27 | |
Medica
| Professional | $168.54 | $302.51 | $602.29 | |
United
| Professional | $160.11 | $302.51 | $571.21 |