| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $38.59 | $51.45 | $123.48 | |
Aetna
| Professional | $32.50 | $38.07 | $53.14 | |
BCBS
| Professional | $48.88 | $48.88 | $48.88 | |
Cigna
| Facility | $33.44 | $33.44 | $137.44 | |
Cigna
| Professional | $22.91 | $62.60 | $75.00 | |
Medica
| Facility | $38.07 | $51.45 | $89.52 | |
Medica
| Professional | $21.61 | $21.61 | $77.18 | |
United
| Professional | $21.61 | $21.61 | $32.93 |