| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $111.37 | $244.44 | $487.66 | |
Aetna
| Professional | $81.89 | $98.27 | $785.88 | |
BCBS
| Facility | $84.23 | $319.89 | $506.76 | |
BCBS
| Professional | $80.20 | $116.65 | $565.01 | |
Cigna
| Facility | $101.68 | $214.49 | $357.48 | |
Cigna
| Professional | $62.08 | $91.75 | $187.05 | |
Medica
| Facility | $90.08 | $122.22 | $244.44 | |
Medica
| Professional | $51.33 | $63.37 | $611.10 | |
United
| Professional | $51.33 | $63.37 | $73.33 |