| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $29.10 | $53.64 | $77.34 | |
BCBS
| Facility | $85.36 | $331.79 | $525.60 | |
BCBS
| Professional | $78.25 | $104.33 | $121.28 | |
Cigna
| Professional | $15.75 | $19.69 | $94.26 | |
Medica
| Facility | $7.50 | $30.06 | $119.30 | |
Medica
| Professional | $64.73 | $76.15 | $169.98 | |
United
| Professional | $64.73 | $76.15 | $97.06 |