| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $52.10 | $183.00 | $841.16 | |
Aetna
| Professional | $35.11 | $52.10 | $145.80 | |
Aetna
| Professional | 50 | $50.97 | $162.27 | $288.89 |
BCBS
| Professional | $72.33 | $104.95 | $137.60 | |
BCBS
| Professional | 50 | $108.50 | $162.74 | $209.91 |
Cigna
| Professional | $55.44 | $96.36 | $172.55 | |
Medica
| Facility | $37.29 | $61.16 | $117.78 | |
Medica
| Professional | $55.02 | $102.16 | $175.61 | |
Medica
| Professional | 50 | $113.36 | $140.87 | $211.31 |
United
| Professional | $53.77 | $93.93 | $118.29 |