| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $57.00 | $133.81 | $291.14 | |
Aetna
| Professional | $131.62 | $133.81 | $191.49 | |
BCBS
| Facility | $118.40 | $195.33 | $292.24 | |
BCBS
| Professional | $175.45 | $223.30 | $306.62 | |
Cigna
| Facility | $60.00 | $68.00 | $95.00 | |
Cigna
| Professional | $148.71 | $253.98 | $297.08 | |
Medica
| Facility | $85.43 | $151.13 | $522.82 | |
Medica
| Professional | $158.79 | $204.63 | $370.70 | |
United
| Professional | $152.76 | $197.88 | $312.04 |