| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $116.89 | $256.58 | $511.88 | |
Aetna
| Professional | $85.95 | $109.05 | $824.91 | |
BCBS
| Facility | $78.05 | $296.39 | $469.54 | |
BCBS
| Professional | $74.31 | $108.08 | $523.51 | |
Cigna
| Facility | $135.61 | $225.15 | $375.26 | |
Cigna
| Professional | $65.22 | $99.67 | $217.85 | |
Medica
| Facility | $94.55 | $128.29 | $256.58 | |
Medica
| Professional | $53.88 | $73.31 | $641.45 | |
United
| Professional | $53.88 | $73.31 | $76.97 |