| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $166.86 | $174.81 | $486.60 | |
BCBS
| Facility | $129.60 | $510.95 | $831.79 | |
BCBS
| Professional | $115.37 | $152.56 | $348.22 | |
Cigna
| Facility | $149.91 | $158.91 | $158.91 | |
Cigna
| Professional | $151.58 | $158.91 | $158.91 | |
Medica
| Facility | $158.91 | $166.86 | $654.50 | |
Medica
| Professional | $158.91 | $158.91 | $158.91 | |
United
| Professional | $158.91 | $158.91 | $158.91 |