| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $168.75 | $571.71 | $738.95 | |
Aetna
| Professional | $100.00 | $124.08 | $282.61 | |
BCBS
| Facility | $127.63 | $484.70 | $767.83 | |
BCBS
| Professional | $121.52 | $176.75 | $856.14 | |
Cigna
| Facility | $86.37 | $325.02 | $541.71 | |
Cigna
| Professional | $84.41 | $139.19 | $185.01 | |
Medica
| Facility | $124.08 | $185.20 | $334.34 | |
Medica
| Professional | $77.78 | $77.78 | $926.00 | |
United
| Professional | $77.78 | $77.78 | $111.12 |