| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $44.67 | $44.67 | $44.67 | |
BCBS
| Facility | $61.66 | $141.25 | $295.12 | |
BCBS
| Professional | $177.83 | $234.42 | $446.68 | |
Cigna
| Facility | $380.19 | $380.19 | $380.19 | |
Cigna
| Professional | $275.42 | $275.42 | $275.42 | |
Medica
| Facility | $44.67 | $44.67 | $89.13 | |
Medica
| Professional | $44.67 | $44.67 | $44.67 | |
United
| Facility | $489.78 | $489.78 | $489.78 |