| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $93.30 | $104.76 | $140.41 | |
BCBS
| Facility | $112.27 | $443.47 | $734.54 | |
BCBS
| Professional | $72.28 | $96.37 | $120.46 | |
Cigna
| Facility | $122.50 | $122.50 | $122.50 | |
Cigna
| Professional | $99.62 | $141.88 | $275.55 | |
Medica
| Facility | $97.04 | $116.45 | $220.49 | |
Medica
| Professional | $97.41 | $123.21 | $686.29 | |
United
| Professional | $94.83 | $116.20 | $219.81 |