| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $49.50 | $185.66 | $204.58 | |
Aetna
| Professional | $102.64 | $148.13 | $204.58 | |
BCBS
| Facility | $184.12 | $193.81 | $206.16 | |
BCBS
| Professional | $203.50 | $203.50 | $203.50 | |
Cigna
| Facility | $125.61 | $125.61 | $125.61 | |
Cigna
| Professional | $91.70 | $91.70 | $331.41 | |
Medica
| Facility | $64.75 | $199.11 | $1,045.23 | |
Medica
| Professional | $66.86 | $119.29 | $214.42 | |
United
| Professional | $66.86 | $117.76 | $167.15 |