| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $61.11 | $96.84 | $2,000.00 | |
Aetna
| Professional | $56.04 | $87.21 | $106.12 | |
BCBS
| Professional | $117.70 | $167.00 | $242.88 | |
BCBS
| Professional | 50 | $176.55 | $239.67 | $364.32 |
Cigna
| Professional | $90.82 | $153.76 | $303.80 | |
Medica
| Facility | $61.11 | $99.90 | $167.51 | |
Medica
| Professional | $103.22 | $177.65 | $575.00 | |
United
| Professional | $98.89 | $175.04 | $217.56 |