| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $48.04 | $77.69 | $210.31 | |
Aetna
| Professional | $39.53 | $39.53 | $210.31 | |
BCBS
| Facility | $29.49 | $116.00 | $192.93 | |
BCBS
| Professional | $30.53 | $44.41 | $63.28 | |
Cigna
| Facility | $35.21 | $85.65 | $154.16 | |
Cigna
| Professional | $60.71 | $64.43 | $80.54 | |
Medica
| Facility | $27.41 | $42.17 | $250.37 | |
Medica
| Professional | $22.14 | $22.14 | $31.63 | |
United
| Professional | $22.14 | $22.14 | $31.63 |