| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $86.55 | $189.98 | $379.01 | |
Aetna
| Professional | $63.64 | $76.37 | $610.79 | |
BCBS
| Facility | $65.45 | $248.59 | $393.81 | |
BCBS
| Professional | $62.33 | $90.66 | $439.12 | |
Cigna
| Facility | $25.51 | $166.70 | $277.83 | |
Cigna
| Professional | $42.22 | $71.30 | $94.77 | |
Medica
| Facility | $70.00 | $99.74 | $171.72 | |
Medica
| Professional | $39.90 | $39.90 | $474.95 | |
United
| Professional | $39.90 | $39.90 | $56.99 |