| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $91.20 | $91.20 | $154.88 | |
Aetna
| Professional | $89.13 | $91.20 | $112.20 | |
BCBS
| Facility | $114.82 | $181.97 | $295.12 | |
Cigna
| Facility | $95.50 | $95.50 | $95.50 | |
Cigna
| Professional | $83.18 | $95.50 | $95.50 | |
Medica
| Facility | $83.18 | $93.33 | $346.74 | |
Medica
| Professional | $33.11 | $83.18 | $85.11 | |
United
| Facility | $0.08 | $0.79 | $39.81 | |
United
| Professional | $36.31 | $89.13 | $89.13 |