| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $85.06 | $157.33 | $250.17 | |
Aetna
| Professional | $62.90 | $71.48 | $105.19 | |
BCBS
| Facility | $91.59 | $138.69 | $176.04 | |
BCBS
| Professional | $105.59 | $105.59 | $124.22 | |
Cigna
| Facility | $55.00 | $65.00 | $88.00 | |
Cigna
| Professional | $44.99 | $86.23 | $140.00 | |
Medica
| Facility | $60.76 | $94.58 | $225.88 | |
Medica
| Professional | $55.85 | $85.08 | $633.66 | |
United
| Professional | $55.85 | $77.33 | $124.09 |