| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $45.97 | $1,072.46 | $1,072.46 | |
Aetna
| Professional | $41.60 | $64.67 | $84.49 | |
BCBS
| Professional | $91.39 | $129.68 | $206.41 | |
BCBS
| Professional | 50 | $137.09 | $177.42 | $309.62 |
Cigna
| Professional | $69.70 | $139.24 | $263.64 | |
Medica
| Facility | $45.97 | $76.64 | $142.83 | |
Medica
| Professional | $79.53 | $140.60 | $340.80 | |
United
| Professional | $78.98 | $135.76 | $172.28 |