| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $136.97 | $238.72 | $599.82 | |
Aetna
| Professional | $100.00 | $100.72 | $966.62 | |
BCBS
| Facility | $103.60 | $393.44 | $623.26 | |
BCBS
| Professional | $98.64 | $143.47 | $694.94 | |
Cigna
| Facility | $77.69 | $263.82 | $439.70 | |
Cigna
| Professional | $68.45 | $112.99 | $150.16 | |
Medica
| Facility | $100.72 | $150.33 | $271.89 | |
Medica
| Professional | $63.14 | $63.14 | $751.65 | |
United
| Professional | $63.14 | $63.14 | $90.20 |