| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $62.73 | $128.05 | $2,000.00 | |
Aetna
| Professional | $59.50 | $98.51 | $147.02 | |
BCBS
| Professional | $120.99 | $156.58 | $334.88 | |
BCBS
| Professional | 50 | $181.49 | $257.49 | $502.32 |
Cigna
| Professional | $100.25 | $195.83 | $421.95 | |
Medica
| Facility | $62.73 | $128.05 | $232.51 | |
Medica
| Professional | $130.28 | $225.06 | $631.00 | |
United
| Professional | $130.28 | $211.13 | $286.62 |