| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $107.60 | $140.30 | $326.33 | |
Aetna
| Professional | $105.11 | $144.00 | $411.21 | |
BCBS
| Facility | $112.22 | $426.18 | $675.13 | |
BCBS
| Professional | $78.83 | $114.66 | $759.74 | |
Cigna
| Facility | $134.47 | $134.47 | $134.47 | |
Cigna
| Professional | $134.47 | $134.47 | $134.47 | |
Medica
| Facility | $113.65 | $139.41 | $182.40 | |
Medica
| Professional | $134.99 | $135.66 | $144.07 | |
United
| Professional | $134.99 | $135.66 | $144.07 |