| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $96.53 | $96.53 | $318.00 | |
Aetna
| Professional | $63.09 | $89.04 | $96.53 | |
BCBS
| Facility | $121.68 | $284.91 | $516.60 | |
BCBS
| Professional | $11.10 | $13.88 | $13.88 | |
Cigna
| Professional | $117.93 | $117.93 | $117.93 | |
Medica
| Facility | $87.46 | $157.43 | $333.93 | |
Medica
| Professional | $95.28 | $160.22 | $303.58 | |
United
| Professional | $88.21 | $147.68 | $282.49 |