| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $129.01 | $129.01 | $129.01 | |
Aetna
| Professional | $48.61 | $84.53 | $129.01 | |
BCBS
| Facility | $134.86 | $142.38 | $156.07 | |
BCBS
| Professional | $147.50 | $147.50 | $147.50 | |
Cigna
| Facility | $117.36 | $117.36 | $117.36 | |
Cigna
| Professional | $85.67 | $117.36 | $274.22 | |
Medica
| Facility | $48.61 | $125.54 | $791.34 | |
Medica
| Professional | $50.20 | $77.72 | $199.00 | |
United
| Professional | $50.20 | $77.72 | $104.08 |