| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $91.52 | $91.52 | $134.90 | |
Aetna
| Professional | $87.19 | $89.82 | $91.52 | |
BCBS
| Professional | $115.33 | $169.49 | $169.49 | |
Cigna
| Facility | $100.43 | $100.43 | $100.43 | |
Cigna
| Professional | $73.31 | $100.43 | $100.43 | |
Medica
| Facility | $46.76 | $116.25 | $757.74 | |
Medica
| Professional | $48.28 | $90.00 | $189.03 | |
United
| Professional | $48.28 | $72.43 | $103.90 |