| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $31.75 | $166.23 | $398.79 | |
Aetna
| Professional | $26.03 | $40.54 | $78.01 | |
BCBS
| Facility | $242.22 | $328.59 | $381.98 | |
BCBS
| Professional | $35.78 | $42.09 | $65.61 | |
Cigna
| Professional | $14.04 | $38.72 | $70.00 | |
Medica
| Facility | $26.46 | $44.46 | $74.61 | |
Medica
| Professional | $33.43 | $47.42 | $318.22 | |
United
| Professional | $32.92 | $44.79 | $64.90 |