| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $71.23 | $94.99 | $227.98 | |
Aetna
| Professional | $6.43 | $70.29 | $101.64 | |
BCBS
| Facility | $218.11 | $295.77 | $428.45 | |
BCBS
| Professional | $90.24 | $90.24 | $90.24 | |
Cigna
| Facility | $35.10 | $61.74 | $253.75 | |
Cigna
| Professional | $42.37 | $116.01 | $139.00 | |
Medica
| Facility | $70.29 | $94.99 | $165.28 | |
Medica
| Professional | $39.90 | $39.90 | $142.49 | |
United
| Professional | $39.90 | $39.90 | $60.79 |