| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $49.33 | $97.64 | $150.87 | |
Aetna
| Professional | $35.44 | $41.11 | $50.56 | |
BCBS
| Professional | $143.12 | $143.12 | $143.12 | |
Cigna
| Facility | $38.42 | $88.94 | $205.81 | |
Cigna
| Professional | $44.99 | $44.99 | $69.00 | |
Medica
| Facility | $31.42 | $47.25 | $68.26 | |
Medica
| Professional | $19.85 | $28.35 | $236.25 | |
United
| Facility | $70.88 | $70.88 | $70.88 | |
United
| Professional | $19.85 | $28.35 | $70.88 |