| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $112.70 | $251.07 | $494.84 | |
Aetna
| Professional | $82.87 | $95.95 | $795.26 | |
BCBS
| Facility | $85.23 | $323.69 | $512.77 | |
BCBS
| Professional | $81.15 | $118.04 | $571.76 | |
Cigna
| Facility | $79.72 | $217.05 | $361.76 | |
Cigna
| Professional | $56.37 | $92.80 | $133.33 | |
Medica
| Facility | $91.16 | $129.86 | $303.14 | |
Medica
| Professional | $51.95 | $70.87 | $618.40 | |
United
| Professional | $51.95 | $70.69 | $74.20 |