| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $95.57 | $127.43 | $305.83 | |
Aetna
| Professional | $94.30 | $95.57 | $136.35 | |
BCBS
| Facility | $391.51 | $525.79 | $761.61 | |
BCBS
| Professional | $121.06 | $121.06 | $121.06 | |
Cigna
| Facility | $82.83 | $82.83 | $340.43 | |
Cigna
| Professional | $56.78 | $112.37 | $220.00 | |
Medica
| Facility | $95.57 | $173.22 | $219.97 | |
Medica
| Professional | $53.52 | $63.81 | $191.15 | |
United
| Professional | $53.52 | $63.65 | $91.16 |