| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $89.13 | $229.09 | $588.84 | |
Aetna
| Professional | $67.61 | $85.11 | $112.20 | |
BCBS
| Facility | $64.57 | $208.93 | $309.03 | |
BCBS
| Professional | $89.13 | $95.50 | $190.55 | |
Cigna
| Facility | $70.79 | $112.20 | $371.54 | |
Cigna
| Professional | $67.61 | $138.04 | $173.78 | |
Medica
| Facility | $69.18 | $97.72 | $549.54 | |
Medica
| Professional | $47.86 | $47.86 | $69.18 | |
United
| Facility | $63.10 | $114.82 | $138.04 | |
United
| Professional | $47.86 | $47.86 | $74.13 |