| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $112.20 | $426.58 | $602.56 | |
Aetna
| Professional | $81.28 | $107.15 | $234.42 | |
BCBS
| Facility | $77.62 | $251.19 | $371.54 | |
BCBS
| Professional | $117.49 | $120.23 | $234.42 | |
Cigna
| Facility | $93.33 | $138.04 | $398.11 | |
Cigna
| Professional | $60.26 | $109.65 | $204.17 | |
Medica
| Facility | $89.13 | $128.82 | $245.47 | |
Medica
| Professional | $51.29 | $63.10 | $616.60 | |
United
| Facility | $109.65 | $123.03 | $147.91 | |
United
| Professional | $51.29 | $63.10 | $74.13 |