| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $41.69 | $52.48 | $85.11 | |
BCBS
| Facility | $42.66 | $97.72 | $204.17 | |
BCBS
| Professional | $123.03 | $162.18 | $309.03 | |
Cigna
| Facility | $75.86 | $75.86 | $75.86 | |
Cigna
| Professional | $54.95 | $54.95 | $75.86 | |
Medica
| Facility | $37.15 | $50.12 | $223.87 | |
Medica
| Professional | $48.98 | $57.54 | $630.96 | |
United
| Facility | $0.95 | $57.54 | $67.61 | |
United
| Professional | $48.98 | $57.54 | $107.15 |