| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $83.45 | $99.21 | $117.85 | |
BCBS
| Facility | $88.20 | $329.32 | $577.04 | |
BCBS
| Professional | $53.83 | $76.34 | $94.94 | |
Cigna
| Professional | $92.55 | $92.55 | $92.55 | |
Medica
| Facility | $84.14 | $99.60 | $181.03 | |
Medica
| Professional | $94.55 | $121.60 | $661.36 | |
United
| Professional | $94.55 | $109.80 | $207.11 |