| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $74.86 | $90.65 | $142.61 | |
BCBS
| Facility | $49.14 | $177.50 | $320.92 | |
BCBS
| Professional | $122.84 | $163.78 | $223.16 | |
Cigna
| Facility | $117.36 | $117.36 | $117.36 | |
Cigna
| Professional | $85.67 | $85.67 | $219.38 | |
Medica
| Facility | $48.61 | $125.04 | $791.34 | |
Medica
| Professional | $67.98 | $75.31 | $113.43 | |
United
| Professional | $68.06 | $75.31 | $113.43 |