| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $99.67 | $154.09 | $294.93 | |
Aetna
| Professional | $76.70 | $90.61 | $313.33 | |
BCBS
| Facility | $65.90 | $252.49 | $434.49 | |
BCBS
| Professional | $56.90 | $71.13 | $152.80 | |
Cigna
| Facility | $65.78 | $69.73 | $95.63 | |
Cigna
| Professional | $69.73 | $69.73 | $95.63 | |
Medica
| Facility | $82.37 | $86.49 | $350.53 | |
Medica
| Professional | $82.37 | $82.37 | $82.37 | |
United
| Professional | $69.73 | $69.73 | $69.73 |