| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $51.94 | $79.67 | $152.74 | |
BCBS
| Facility | $34.97 | $126.35 | $228.44 | |
BCBS
| Professional | $87.44 | $116.59 | $158.86 | |
Cigna
| Facility | $133.72 | $133.72 | $133.72 | |
Cigna
| Professional | $97.62 | $97.62 | $160.50 | |
Medica
| Facility | $63.06 | $133.22 | $620.42 | |
Medica
| Professional | $82.79 | $97.68 | $147.13 | |
United
| Professional | $88.20 | $97.68 | $147.13 |