| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $52.78 | $72.90 | $90.28 | |
Aetna
| Professional | $26.14 | $52.78 | $88.04 | |
BCBS
| Facility | $397.25 | $622.96 | $987.15 | |
BCBS
| Professional | $61.60 | $77.04 | $84.59 | |
Cigna
| Professional | $50.29 | $50.29 | $50.29 | |
Medica
| Facility | $30.95 | $57.18 | $99.31 | |
Medica
| Professional | $53.42 | $72.42 | $488.59 | |
United
| Professional | $53.42 | $66.77 | $110.17 |