| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $50.12 | $93.33 | $190.55 | |
Aetna
| Professional | $33.88 | $41.69 | $218.78 | |
BCBS
| Professional | $104.71 | $104.71 | $104.71 | |
Cigna
| Facility | $41.69 | $93.33 | $234.42 | |
Cigna
| Professional | $24.55 | $48.98 | $97.72 | |
Medica
| Facility | $40.74 | $51.29 | $74.13 | |
Medica
| Professional | $21.38 | $30.90 | $257.04 | |
United
| Facility | $21.38 | $51.29 | $61.66 | |
United
| Professional | $21.38 | $30.90 | $67.61 |