| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $82.06 | $111.26 | $111.26 | |
BCBS
| Facility | $4.50 | $4.50 | $5.63 | |
BCBS
| Professional | $87.83 | $117.11 | $194.70 | |
Cigna
| Facility | $94.65 | $94.65 | $94.65 | |
Cigna
| Professional | $80.45 | $94.65 | $165.75 | |
Medica
| Facility | $62.25 | $110.31 | $679.35 | |
Medica
| Professional | $56.67 | $75.56 | $117.24 | |
United
| Professional | $64.48 | $75.56 | $117.24 |