| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $51.69 | $101.95 | $118.09 | |
BCBS
| Facility | $33.85 | $33.85 | $37.22 | |
BCBS
| Professional | $94.50 | $94.50 | $112.83 | |
Cigna
| Professional | $60.08 | $60.08 | $60.08 | |
Medica
| Facility | $56.39 | $112.65 | $162.06 | |
Medica
| Professional | $57.74 | $62.45 | $801.07 | |
United
| Professional | $57.74 | $62.45 | $89.59 |