| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $147.91 | $398.11 | $616.60 | |
Aetna
| Professional | $83.18 | $107.15 | $812.83 | |
BCBS
| Facility | $77.62 | $251.19 | $380.19 | |
BCBS
| Professional | $117.49 | $123.03 | $234.42 | |
Cigna
| Facility | $67.61 | $109.65 | $398.11 | |
Cigna
| Professional | $56.23 | $66.07 | $616.60 | |
Medica
| Facility | $100.00 | $141.25 | $302.00 | |
Medica
| Professional | $52.48 | $70.79 | $616.60 | |
United
| Facility | $112.20 | $123.03 | $147.91 | |
United
| Professional | $52.48 | $70.79 | $74.13 |