| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $78.54 | $114.68 | $221.97 | |
Aetna
| Professional | $91.18 | $101.63 | $221.97 | |
BCBS
| Professional | $95.68 | $116.18 | $136.68 | |
Cigna
| Facility | $55.00 | $65.00 | $85.00 | |
Cigna
| Professional | $93.19 | $141.00 | $192.66 | |
Medica
| Facility | $75.25 | $99.55 | $222.26 | |
Medica
| Professional | $83.76 | $124.75 | $616.10 | |
United
| Facility | $105.14 | $135.81 | $158.68 | |
United
| Professional | $81.90 | $119.78 | $184.20 |