| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $73.58 | $97.77 | $97.77 | |
BCBS
| Facility | $3.96 | $3.96 | $4.95 | |
BCBS
| Professional | $77.18 | $102.91 | $171.09 | |
Cigna
| Facility | $45.00 | $45.00 | $45.00 | |
Cigna
| Professional | $38.25 | $45.00 | $153.38 | |
Medica
| Facility | $55.82 | $104.77 | $615.09 | |
Medica
| Professional | $44.89 | $63.64 | $97.50 | |
United
| Professional | $51.07 | $63.64 | $92.86 |