| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $100.00 | $100.00 | $100.00 | |
Aetna
| Professional | $79.43 | $100.00 | $120.23 | |
BCBS
| Facility | $131.83 | $181.97 | $204.17 | |
BCBS
| Professional | $134.90 | $158.49 | $158.49 | |
Cigna
| Professional | $93.33 | $93.33 | $93.33 | |
Medica
| Facility | $91.20 | $114.82 | $186.21 | |
Medica
| Professional | $102.33 | $141.25 | $660.69 | |
United
| Professional | $100.00 | $131.83 | $199.53 |