| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $92.65 | $123.80 | $123.80 | |
BCBS
| Facility | $5.01 | $5.01 | $6.27 | |
BCBS
| Professional | $97.73 | $130.31 | $216.64 | |
Cigna
| Facility | $111.50 | $111.50 | $111.50 | |
Cigna
| Professional | $94.78 | $111.50 | $241.88 | |
Medica
| Facility | $69.28 | $117.25 | $782.12 | |
Medica
| Professional | $61.93 | $82.57 | $128.13 | |
United
| Professional | $68.81 | $82.57 | $128.13 |