| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $77.09 | $77.09 | $88.20 | |
Aetna
| Professional | $48.52 | $64.23 | $88.20 | |
BCBS
| Professional | $81.64 | $96.05 | $96.05 | |
Cigna
| Facility | $11,782.00 | $11,782.00 | $11,782.00 | |
Cigna
| Professional | $67.94 | $80.00 | $122.31 | |
Medica
| Facility | $64.23 | $103.39 | $1,437.00 | |
Medica
| Professional | $66.13 | $86.98 | $588.60 | |
United
| Facility | $191.00 | $550.00 | $1,769.00 | |
United
| Professional | $64.23 | $81.94 | $152.03 |