| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $77.31 | $129.58 | $132.08 | |
BCBS
| Facility | $5.42 | $5.42 | $6.77 | |
BCBS
| Professional | $114.33 | $140.71 | $259.91 | |
Cigna
| Facility | $129.12 | $129.12 | $129.12 | |
Cigna
| Professional | $109.75 | $129.12 | $253.13 | |
Medica
| Facility | $77.33 | $122.85 | $911.54 | |
Medica
| Professional | $80.33 | $108.27 | $171.85 | |
United
| Professional | $80.33 | $94.52 | $171.85 |