| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $113.13 | $234.86 | $612.47 | |
Aetna
| Professional | $76.75 | $157.34 | $987.01 | |
BCBS
| Facility | $85.87 | $337.80 | $561.82 | |
BCBS
| Professional | $88.91 | $129.32 | $184.28 | |
Cigna
| Facility | $33.46 | $249.45 | $449.01 | |
Cigna
| Professional | $89.80 | $153.50 | $220.96 | |
Medica
| Facility | $113.14 | $159.71 | $729.13 | |
Medica
| Professional | $64.47 | $64.47 | $122.80 | |
United
| Professional | $64.47 | $64.47 | $98.70 |