| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $132.94 | $177.25 | $425.40 | |
Aetna
| Professional | $131.16 | $132.94 | $189.66 | |
BCBS
| Facility | $387.73 | $525.79 | $761.61 | |
BCBS
| Professional | $168.39 | $168.39 | $168.39 | |
Cigna
| Facility | $115.21 | $115.21 | $473.51 | |
Cigna
| Professional | $78.97 | $178.88 | $351.00 | |
Medica
| Facility | $132.94 | $248.15 | $350.10 | |
Medica
| Professional | $74.45 | $101.56 | $265.88 | |
United
| Professional | $74.45 | $97.49 | $196.94 |