| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $73.81 | $81.20 | $105.60 | |
BCBS
| Facility | $64.31 | $255.64 | $400.74 | |
BCBS
| Professional | $49.13 | $71.45 | $469.56 | |
Cigna
| Facility | $72.52 | $72.52 | $72.52 | |
Cigna
| Professional | $72.52 | $72.52 | $72.52 | |
Medica
| Facility | $73.81 | $80.09 | $105.56 | |
Medica
| Professional | $77.70 | $83.42 | $88.58 | |
United
| Professional | $77.70 | $83.42 | $88.58 |