| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $93.33 | $107.15 | $134.90 | |
BCBS
| Facility | $125.89 | $371.54 | $602.56 | |
BCBS
| Professional | $72.44 | $100.00 | $199.53 | |
Cigna
| Professional | $107.15 | $107.15 | $134.90 | |
Medica
| Facility | $93.33 | $112.20 | $199.53 | |
Medica
| Professional | $114.82 | $154.88 | $776.25 | |
United
| Facility | $125.89 | $141.25 | $194.98 | |
United
| Professional | $112.20 | $134.90 | $223.87 |