| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $92.76 | $123.68 | $296.83 | |
Aetna
| Professional | $91.52 | $132.29 | $219.24 | |
BCBS
| Facility | $391.51 | $525.79 | $761.61 | |
BCBS
| Professional | $117.50 | $117.50 | $117.50 | |
Cigna
| Facility | $80.39 | $80.39 | $330.40 | |
Cigna
| Professional | $55.05 | $124.82 | $245.00 | |
Medica
| Facility | $92.76 | $173.15 | $244.30 | |
Medica
| Professional | $51.95 | $70.87 | $185.52 | |
United
| Facility | $44.52 | $123.68 | $534.42 | |
United
| Professional | $51.95 | $70.69 | $137.41 |