| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $40.74 | $104.71 | $269.15 | |
Aetna
| Professional | $30.90 | $39.81 | $51.29 | |
BCBS
| Facility | $29.51 | $95.50 | $141.25 | |
BCBS
| Professional | $40.74 | $44.67 | $89.13 | |
Cigna
| Facility | $30.20 | $40.74 | $147.91 | |
Cigna
| Professional | $60.26 | $64.57 | $81.28 | |
Medica
| Facility | $27.54 | $43.65 | $251.19 | |
Medica
| Professional | $22.39 | $22.39 | $31.62 | |
United
| Facility | $31.62 | $52.48 | $63.10 | |
United
| Professional | $22.39 | $22.39 | $33.88 |