| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $36.54 | $72.31 | $111.76 | |
Aetna
| Professional | $26.25 | $30.45 | $37.45 | |
BCBS
| Professional | $59.00 | $59.00 | $59.00 | |
Cigna
| Facility | $28.46 | $65.88 | $275.95 | |
Cigna
| Professional | $33.32 | $33.32 | $51.00 | |
Medica
| Facility | $23.28 | $35.00 | $50.56 | |
Medica
| Professional | $14.70 | $21.00 | $175.00 | |
United
| Facility | $96.25 | $96.25 | $96.25 | |
United
| Professional | $14.70 | $21.00 | $56.00 |