| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $191.60 | $191.60 | $191.60 | |
Aetna
| Professional | $74.52 | $125.53 | $191.60 | |
BCBS
| Facility | $178.86 | $195.15 | $207.00 | |
BCBS
| Professional | $193.70 | $193.70 | $193.70 | |
Cigna
| Facility | $166.23 | $166.23 | $166.23 | |
Cigna
| Professional | $121.35 | $166.23 | $372.19 | |
Medica
| Facility | $74.52 | $186.47 | $1,236.41 | |
Medica
| Professional | $76.95 | $115.43 | $295.60 | |
United
| Professional | $76.95 | $115.43 | $161.41 |