| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $82.02 | $82.02 | $99.31 | |
Aetna
| Professional | $65.48 | $80.48 | $106.33 | |
BCBS
| Facility | $86.53 | $323.07 | $566.11 | |
BCBS
| Professional | $48.63 | $70.73 | $91.22 | |
Cigna
| Professional | $73.54 | $99.88 | $186.21 | |
Medica
| Facility | $67.16 | $87.10 | $164.14 | |
Medica
| Professional | $91.45 | $123.60 | $636.69 | |
United
| Professional | $89.37 | $103.60 | $212.40 |