| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $84.02 | $98.44 | $362.43 | |
Aetna
| Professional | $69.73 | $75.31 | $98.44 | |
BCBS
| Facility | $94.25 | $106.44 | $128.34 | |
BCBS
| Professional | $75.38 | $75.38 | $75.38 | |
Cigna
| Facility | $65.78 | $69.73 | $95.63 | |
Cigna
| Professional | $69.73 | $95.63 | $101.25 | |
Medica
| Facility | $86.49 | $86.49 | $350.53 | |
Medica
| Professional | $69.73 | $82.37 | $131.79 | |
United
| Professional | $27.89 | $69.73 | $118.54 |