| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $757.10 | $757.10 | $757.10 | |
Aetna
| Professional | $53.71 | $60.49 | $275.00 | |
BCBS
| Facility | $35.25 | $127.33 | $230.21 | |
BCBS
| Professional | $88.13 | $117.50 | $158.63 | |
Cigna
| Facility | $68.22 | $68.22 | $68.22 | |
Cigna
| Professional | $49.80 | $49.80 | $135.00 | |
Medica
| Facility | $32.44 | $89.72 | $535.05 | |
Medica
| Professional | $45.37 | $50.24 | $75.68 | |
United
| Professional | $45.41 | $50.24 | $75.68 |