| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $102.89 | $123.53 | $130.22 | |
BCBS
| Facility | $5.00 | $5.00 | $6.25 | |
BCBS
| Professional | $97.52 | $130.03 | $216.18 | |
Cigna
| Facility | $114.47 | $114.47 | $114.47 | |
Cigna
| Professional | $97.30 | $114.47 | $202.50 | |
Medica
| Facility | $78.06 | $130.22 | $821.01 | |
Medica
| Professional | $84.91 | $101.89 | $166.01 | |
United
| Professional | $86.96 | $99.61 | $166.01 |