| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $57.54 | $64.57 | $81.28 | |
BCBS
| Facility | $81.28 | $239.88 | $398.11 | |
BCBS
| Professional | $43.65 | $61.66 | $123.03 | |
Cigna
| Professional | $66.07 | $66.07 | $83.18 | |
Medica
| Facility | $56.23 | $69.18 | $120.23 | |
Medica
| Professional | $69.18 | $95.50 | $467.74 | |
United
| Facility | $77.62 | $85.11 | $117.49 | |
United
| Professional | $69.18 | $83.18 | $138.04 |