| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $79.19 | $92.10 | $112.95 | |
BCBS
| Facility | $99.01 | $369.67 | $647.76 | |
BCBS
| Professional | $59.76 | $84.75 | $105.39 | |
Cigna
| Professional | $92.55 | $92.55 | $92.55 | |
Medica
| Facility | $79.19 | $93.44 | $169.27 | |
Medica
| Professional | $94.55 | $121.60 | $661.36 | |
United
| Professional | $94.55 | $109.80 | $201.84 |