| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $67.61 | $67.61 | $67.61 | |
Aetna
| Professional | $41.69 | $50.12 | $70.79 | |
BCBS
| Facility | $891.25 | $954.99 | $1,000.00 | |
BCBS
| Professional | $933.25 | $933.25 | $933.25 | |
Cigna
| Facility | $75.86 | $75.86 | $75.86 | |
Cigna
| Professional | $54.95 | $54.95 | $102.33 | |
Medica
| Facility | $44.67 | $67.61 | $147.91 | |
Medica
| Professional | $38.90 | $63.10 | $630.96 | |
United
| Facility | $39.81 | $64.57 | $87.10 | |
United
| Professional | $38.90 | $56.23 | $102.33 |