| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $76.70 | $102.26 | $245.42 | |
Aetna
| Professional | $51.13 | $76.70 | $145.60 | |
BCBS
| Facility | $218.11 | $295.77 | $428.45 | |
BCBS
| Professional | $97.15 | $97.15 | $97.15 | |
Cigna
| Facility | $66.47 | $66.47 | $273.19 | |
Cigna
| Professional | $45.54 | $124.33 | $148.96 | |
Medica
| Facility | $75.67 | $102.26 | $171.80 | |
Medica
| Professional | $42.95 | $42.95 | $153.38 | |
United
| Professional | $42.95 | $42.95 | $65.45 |