| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $63.10 | $83.18 | $154.88 | |
Aetna
| Professional | $19.95 | $23.99 | $30.90 | |
BCBS
| Facility | $138.04 | $177.83 | $346.74 | |
BCBS
| Professional | $25.12 | $47.86 | $51.29 | |
Cigna
| Professional | $36.31 | $60.26 | $75.86 | |
Medica
| Facility | $19.05 | $38.02 | $151.36 | |
Medica
| Professional | $13.18 | $19.05 | $34.67 | |
United
| Facility | $14.13 | $28.18 | $47.86 | |
United
| Professional | $18.20 | $19.05 | $34.67 |