| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $52.81 | $84.57 | $2,000.00 | |
Aetna
| Professional | $47.53 | $73.14 | $150.00 | |
Aetna
| Professional | 50 | $195.99 | $195.99 | $195.99 |
BCBS
| Professional | $102.58 | $132.31 | $227.62 | |
BCBS
| Professional | 50 | $153.87 | $198.47 | $335.52 |
Cigna
| Professional | $83.83 | $156.12 | $236.90 | |
Medica
| Facility | $52.81 | $86.15 | $154.19 | |
Medica
| Professional | $87.87 | $155.13 | $386.24 | |
United
| Professional | $86.62 | $153.32 | $182.53 |