| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $57.57 | $91.58 | $98.43 | |
BCBS
| Facility | $3.71 | $3.71 | $4.63 | |
BCBS
| Professional | $78.33 | $96.40 | $133.76 | |
Cigna
| Facility | $81.17 | $81.17 | $81.17 | |
Cigna
| Professional | $68.98 | $81.17 | $144.38 | |
Medica
| Facility | $59.00 | $98.43 | $582.10 | |
Medica
| Professional | $61.50 | $80.83 | $127.93 | |
United
| Professional | $61.50 | $61.84 | $127.93 |