| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $100.84 | $133.19 | $150.11 | |
BCBS
| Facility | $5.39 | $5.39 | $6.74 | |
BCBS
| Professional | $113.92 | $140.21 | $194.54 | |
Cigna
| Facility | $123.59 | $123.59 | $123.59 | |
Cigna
| Professional | $105.05 | $123.59 | $222.38 | |
Medica
| Facility | $100.84 | $156.86 | $886.11 | |
Medica
| Professional | $95.59 | $123.55 | $224.08 | |
United
| Professional | $95.59 | $108.31 | $224.08 |