| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $96.22 | $128.29 | $307.89 | |
Aetna
| Professional | $67.98 | $83.39 | $111.61 | |
BCBS
| Facility | $66.64 | $90.37 | $130.90 | |
BCBS
| Professional | $121.88 | $121.88 | $121.88 | |
Cigna
| Facility | $83.39 | $83.39 | $342.73 | |
Cigna
| Professional | $57.21 | $90.83 | $220.39 | |
Medica
| Facility | $96.22 | $179.61 | $253.40 | |
Medica
| Professional | $53.88 | $73.31 | $192.44 | |
United
| Facility | $554.34 | $554.34 | $792.71 | |
United
| Professional | $53.88 | $66.06 | $142.54 |