| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $67.03 | $94.20 | $133.90 | |
BCBS
| Professional | $13.04 | $15.70 | $15.70 | |
Cigna
| Facility | $64.17 | $64.17 | $177.12 | |
Cigna
| Professional | $13.43 | $64.17 | $202.50 | |
Medica
| Facility | $69.50 | $123.64 | $821.30 | |
Medica
| Professional | $48.81 | $113.52 | $162.16 | |
United
| Professional | $60.27 | $105.41 | $154.44 |