| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $116.12 | $349.67 | $508.45 | |
Aetna
| Professional | $85.38 | $102.46 | $819.38 | |
BCBS
| Facility | $87.82 | $333.51 | $528.32 | |
BCBS
| Professional | $83.61 | $121.62 | $589.08 | |
Cigna
| Facility | $71.78 | $223.64 | $372.74 | |
Cigna
| Professional | $56.61 | $95.68 | $127.18 | |
Medica
| Facility | $93.92 | $133.80 | $254.86 | |
Medica
| Professional | $53.52 | $63.81 | $637.15 | |
United
| Professional | $53.52 | $63.81 | $76.45 |