| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $106.97 | $142.63 | $342.31 | |
Aetna
| Professional | $74.16 | $103.11 | $124.09 | |
BCBS
| Facility | $220.23 | $295.77 | $428.45 | |
BCBS
| Professional | $135.50 | $135.50 | $154.04 | |
Cigna
| Facility | $92.71 | $92.71 | $381.04 | |
Cigna
| Professional | $59.58 | $76.13 | $208.23 | |
Medica
| Facility | $105.55 | $142.63 | $239.62 | |
Medica
| Professional | $59.90 | $59.90 | $213.95 | |
United
| Professional | $59.90 | $59.90 | $91.28 |