| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $35.82 | $78.62 | $156.85 | |
Aetna
| Professional | $26.34 | $31.61 | $252.76 | |
BCBS
| Facility | $27.09 | $102.89 | $162.99 | |
BCBS
| Professional | $25.80 | $37.52 | $181.74 | |
Cigna
| Facility | $22.62 | $68.98 | $114.98 | |
Cigna
| Professional | $17.43 | $29.62 | $39.36 | |
Medica
| Facility | $26.34 | $39.31 | $70.89 | |
Medica
| Professional | $16.51 | $16.51 | $196.55 | |
United
| Professional | $16.51 | $16.51 | $23.59 |