| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $112.75 | $150.33 | $360.79 | |
Aetna
| Professional | $90.20 | $111.24 | $160.85 | |
BCBS
| Facility | $218.11 | $295.77 | $428.45 | |
BCBS
| Professional | $142.81 | $142.81 | $142.81 | |
Cigna
| Facility | $97.71 | $97.71 | $401.59 | |
Cigna
| Professional | $67.01 | $183.43 | $219.77 | |
Medica
| Facility | $111.24 | $150.33 | $252.55 | |
Medica
| Professional | $63.14 | $63.14 | $225.50 | |
United
| Professional | $63.14 | $63.14 | $96.21 |