| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $101.38 | $137.00 | $328.80 | |
Aetna
| Professional | $45.00 | $115.01 | $333.94 | |
BCBS
| Facility | $218.11 | $295.77 | $428.45 | |
BCBS
| Professional | $130.15 | $130.15 | $137.00 | |
Cigna
| Facility | $89.05 | $89.05 | $366.00 | |
Cigna
| Professional | $61.10 | $167.23 | $200.36 | |
Medica
| Facility | $101.38 | $137.00 | $238.38 | |
Medica
| Professional | $57.54 | $57.54 | $205.50 | |
United
| Professional | $57.54 | $57.54 | $87.68 |