| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $63.68 | $63.68 | $103.37 | |
Aetna
| Professional | $58.19 | $63.68 | $101.71 | |
BCBS
| Professional | $117.70 | $145.25 | $152.03 | |
Cigna
| Facility | $67.18 | $67.18 | $67.18 | |
Cigna
| Professional | $74.70 | $113.55 | $158.79 | |
Medica
| Facility | $63.68 | $101.83 | $242.06 | |
Medica
| Professional | $70.33 | $117.11 | $480.87 | |
United
| Professional | $65.88 | $110.60 | $157.68 |