| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $78.80 | $78.80 | $147.06 | |
Aetna
| Professional | $78.80 | $78.80 | $98.86 | |
BCBS
| Facility | $85.49 | $85.92 | $87.02 | |
BCBS
| Professional | $72.67 | $85.79 | $86.56 | |
Cigna
| Facility | $80.29 | $80.29 | $92.33 | |
Cigna
| Professional | $82.54 | $82.54 | $103.17 | |
Medica
| Facility | $76.56 | $81.70 | $138.88 | |
Medica
| Professional | $81.70 | $91.50 | $91.50 | |
United
| Professional | $78.80 | $88.26 | $88.26 |