| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $88.93 | $188.05 | $188.05 | |
Aetna
| Professional | $88.93 | $100.45 | $123.44 | |
BCBS
| Facility | $72.48 | $234.74 | $451.64 | |
BCBS
| Professional | $66.34 | $88.45 | $110.56 | |
Cigna
| Facility | $55.00 | $58.00 | $70.00 | |
Cigna
| Professional | $69.92 | $99.48 | $164.24 | |
Medica
| Facility | $75.59 | $96.31 | $222.26 | |
Medica
| Professional | $71.81 | $100.32 | $616.10 | |
United
| Facility | $105.14 | $105.14 | $135.81 | |
United
| Professional | $69.36 | $96.69 | $165.25 |