| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $58.13 | $58.13 | $117.80 | |
Aetna
| Professional | $50.80 | $122.37 | $162.91 | |
BCBS
| Facility | $55.48 | $55.48 | $67.95 | |
BCBS
| Professional | $42.73 | $82.89 | $125.08 | |
Cigna
| Facility | $97.72 | $97.72 | $97.72 | |
Cigna
| Professional | $128.26 | $128.26 | $128.26 | |
Medica
| Facility | $58.13 | $117.80 | $188.95 | |
Medica
| Professional | $121.83 | $161.13 | $935.43 | |
United
| Professional | $121.83 | $141.05 | $260.08 |