| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $51.29 | $97.72 | $194.98 | |
Aetna
| Professional | $36.31 | $44.67 | $52.48 | |
BCBS
| Professional | $66.07 | $66.07 | $66.07 | |
Cigna
| Facility | $47.86 | $95.50 | $120.23 | |
Cigna
| Professional | $60.26 | $61.66 | $77.62 | |
Medica
| Facility | $27.54 | $43.65 | $91.20 | |
Medica
| Professional | $22.39 | $31.62 | $52.48 | |
United
| Facility | $22.39 | $52.48 | $63.10 | |
United
| Professional | $22.39 | $31.62 | $52.48 |