| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $84.22 | $84.95 | $99.90 | |
Aetna
| Professional | $70.79 | $84.95 | $100.77 | |
BCBS
| Facility | $129.62 | $180.00 | $197.68 | |
BCBS
| Professional | $111.82 | $131.55 | $155.22 | |
Cigna
| Professional | $86.58 | $130.61 | $197.22 | |
Medica
| Facility | $71.58 | $98.06 | $186.88 | |
Medica
| Professional | $106.83 | $160.38 | $721.97 | |
United
| Professional | $103.35 | $124.06 | $180.85 |