| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $66.80 | $89.20 | $176.89 | |
BCBS
| Facility | $43.85 | $158.40 | $286.38 | |
BCBS
| Professional | $109.61 | $146.15 | $199.13 | |
Cigna
| Facility | $132.63 | $132.63 | $132.63 | |
Cigna
| Professional | $96.83 | $96.83 | $216.75 | |
Medica
| Facility | $48.80 | $116.40 | $797.99 | |
Medica
| Professional | $68.23 | $75.59 | $113.86 | |
United
| Professional | $68.31 | $75.59 | $112.14 |