| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $56.62 | $91.59 | $247.94 | |
Aetna
| Professional | $41.63 | $41.63 | $41.63 | |
BCBS
| Facility | $34.76 | $136.74 | $227.42 | |
BCBS
| Professional | $35.99 | $52.35 | $74.59 | |
Cigna
| Facility | $41.50 | $100.98 | $181.76 | |
Cigna
| Professional | $71.45 | $75.58 | $94.48 | |
Medica
| Facility | $32.31 | $49.71 | $295.17 | |
Medica
| Professional | $26.10 | $26.10 | $37.28 | |
United
| Facility | $55.93 | $55.93 | $74.56 | |
United
| Professional | $26.10 | $26.10 | $39.96 |