| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $131.34 | $131.34 | $131.34 | |
Aetna
| Professional | $65.67 | $69.94 | $159.19 | |
BCBS
| Facility | $60.49 | $229.73 | $363.92 | |
BCBS
| Professional | $42.49 | $61.81 | $409.56 | |
Cigna
| Facility | $72.25 | $72.25 | $72.25 | |
Cigna
| Professional | $72.25 | $72.25 | $72.25 | |
Medica
| Facility | $65.67 | $86.62 | $93.91 | |
Medica
| Professional | $77.26 | $82.94 | $88.08 | |
United
| Professional | $77.26 | $82.94 | $88.08 |