| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $160.77 | $160.77 | $160.77 | |
Aetna
| Professional | $56.16 | $105.33 | $160.77 | |
BCBS
| Facility | $153.32 | $161.38 | $171.67 | |
BCBS
| Professional | $169.46 | $169.46 | $169.46 | |
Cigna
| Facility | $112.22 | $112.22 | $112.22 | |
Cigna
| Professional | $81.92 | $81.92 | $282.66 | |
Medica
| Facility | $56.16 | $156.47 | $908.81 | |
Medica
| Professional | $57.99 | $96.86 | $248.05 | |
United
| Professional | $58.91 | $93.63 | $129.72 |