| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $64.48 | $82.44 | $107.29 | |
BCBS
| Facility | $48.10 | $173.75 | $314.13 | |
BCBS
| Professional | $120.24 | $160.32 | $218.44 | |
Cigna
| Facility | $90.07 | $90.07 | $90.07 | |
Cigna
| Professional | $65.75 | $65.75 | $167.25 | |
Medica
| Facility | $46.42 | $122.42 | $730.36 | |
Medica
| Professional | $64.98 | $71.91 | $110.81 | |
United
| Professional | $66.48 | $71.91 | $108.32 |