| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $57.00 | $92.66 | $199.31 | |
Aetna
| Professional | $57.12 | $69.37 | $78.33 | |
BCBS
| Facility | $57.47 | $94.36 | $141.22 | |
BCBS
| Professional | $75.63 | $96.25 | $132.16 | |
Cigna
| Facility | $55.00 | $65.00 | $105.00 | |
Cigna
| Professional | $60.34 | $81.06 | $111.52 | |
Medica
| Facility | $61.91 | $78.41 | $225.88 | |
Medica
| Professional | $65.33 | $78.93 | $132.24 | |
United
| Professional | $65.33 | $74.55 | $109.44 |