| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $124.83 | $274.00 | $546.63 | |
Aetna
| Professional | $65.00 | $91.79 | $880.91 | |
BCBS
| Facility | $94.41 | $358.55 | $567.99 | |
BCBS
| Professional | $89.89 | $130.75 | $633.33 | |
Cigna
| Facility | $66.29 | $240.44 | $400.73 | |
Cigna
| Professional | $62.34 | $103.02 | $136.93 | |
Medica
| Facility | $91.79 | $137.00 | $247.83 | |
Medica
| Professional | $57.54 | $57.54 | $685.00 | |
United
| Professional | $57.54 | $57.54 | $82.20 |