| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $39.58 | $66.45 | $173.29 | |
Aetna
| Professional | $20.04 | $20.04 | $36.92 | |
BCBS
| Facility | $26.42 | $100.34 | $158.96 | |
BCBS
| Professional | $25.16 | $36.59 | $177.24 | |
Cigna
| Facility | $29.01 | $70.58 | $127.04 | |
Medica
| Facility | $29.10 | $43.43 | $97.50 | |
Medica
| Professional | $18.23 | $18.23 | $216.28 | |
United
| Professional | $18.23 | $18.23 | $26.06 |