| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $31.89 | $70.00 | $139.65 | |
Aetna
| Professional | $23.45 | $28.85 | $225.05 | |
BCBS
| Facility | $24.13 | $91.62 | $145.13 | |
BCBS
| Professional | $22.97 | $33.40 | $161.82 | |
Cigna
| Facility | $38.28 | $61.43 | $102.38 | |
Cigna
| Professional | $15.51 | $26.21 | $34.84 | |
Medica
| Facility | $25.80 | $35.00 | $63.09 | |
Medica
| Professional | $14.70 | $14.70 | $175.00 | |
United
| Professional | $14.70 | $14.70 | $21.00 |