| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $120.22 | $120.22 | $120.22 | |
Aetna
| Professional | $46.76 | $78.76 | $120.22 | |
BCBS
| Facility | $118.13 | $128.88 | $136.71 | |
BCBS
| Professional | $127.93 | $127.93 | $127.93 | |
Cigna
| Facility | $100.43 | $100.43 | $100.43 | |
Cigna
| Professional | $73.31 | $100.43 | $225.00 | |
Medica
| Facility | $46.76 | $117.00 | $757.74 | |
Medica
| Professional | $48.28 | $72.43 | $185.47 | |
United
| Professional | $48.28 | $72.43 | $103.90 |