| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $26.25 | $35.00 | $84.00 | |
Aetna
| Professional | $1.36 | $25.90 | $34.28 | |
BCBS
| Facility | $218.11 | $295.77 | $428.45 | |
BCBS
| Professional | $33.25 | $33.25 | $33.25 | |
Cigna
| Facility | $22.75 | $22.75 | $93.50 | |
Cigna
| Professional | $15.56 | $42.46 | $51.00 | |
Medica
| Facility | $25.90 | $35.00 | $58.80 | |
Medica
| Professional | $14.70 | $14.70 | $52.50 | |
United
| Professional | $14.70 | $14.70 | $22.40 |