| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $66.51 | $68.09 | $113.31 | |
BCBS
| Facility | $38.81 | $140.19 | $253.46 | |
BCBS
| Professional | $97.01 | $129.35 | $176.24 | |
Cigna
| Facility | $98.15 | $98.15 | $98.15 | |
Cigna
| Professional | $71.65 | $71.65 | $175.50 | |
Medica
| Facility | $43.56 | $98.74 | $705.18 | |
Medica
| Professional | $62.39 | $67.48 | $112.48 | |
United
| Professional | $62.39 | $67.48 | $101.65 |