| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $115.29 | $149.12 | $149.12 | |
BCBS
| Facility | $6.04 | $6.04 | $7.55 | |
BCBS
| Professional | $127.54 | $156.97 | $217.79 | |
Cigna
| Facility | $130.68 | $130.68 | $130.68 | |
Cigna
| Professional | $111.08 | $130.68 | $241.50 | |
Medica
| Facility | $133.96 | $164.40 | $937.40 | |
Medica
| Professional | $79.48 | $96.63 | $158.97 | |
United
| Professional | $87.44 | $96.63 | $158.97 |