| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $45.54 | $57.76 | $116.39 | |
BCBS
| Facility | $39.11 | $141.32 | $255.50 | |
BCBS
| Professional | $97.80 | $130.40 | $177.67 | |
Cigna
| Facility | $56.50 | $56.50 | $56.50 | |
Cigna
| Professional | $41.25 | $41.25 | $136.88 | |
Medica
| Facility | $50.09 | $59.84 | $638.99 | |
Medica
| Professional | $70.30 | $78.17 | $145.49 | |
United
| Professional | $70.30 | $78.17 | $144.90 |