| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $79.66 | $99.38 | $175.81 | |
BCBS
| Facility | $44.25 | $159.85 | $288.99 | |
BCBS
| Professional | $110.61 | $147.47 | $200.94 | |
Cigna
| Facility | $121.82 | $121.82 | $121.82 | |
Cigna
| Professional | $88.93 | $88.93 | $218.25 | |
Medica
| Facility | $56.83 | $138.78 | $928.37 | |
Medica
| Professional | $79.48 | $88.03 | $132.60 | |
United
| Professional | $79.56 | $88.03 | $132.60 |