| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $64.22 | $127.13 | $196.43 | |
Aetna
| Professional | $46.14 | $53.52 | $65.83 | |
BCBS
| Professional | $102.79 | $102.79 | $102.79 | |
Cigna
| Facility | $50.03 | $115.81 | $183.21 | |
Cigna
| Professional | $58.65 | $58.65 | $89.00 | |
Medica
| Facility | $40.90 | $61.52 | $88.87 | |
Medica
| Professional | $25.84 | $36.90 | $307.60 | |
United
| Professional | $25.84 | $36.90 | $92.28 |