| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $55.03 | $73.37 | $176.09 | |
Aetna
| Professional | $54.29 | $54.29 | $78.51 | |
BCBS
| Professional | $69.70 | $69.70 | $69.70 | |
Cigna
| Facility | $47.69 | $47.69 | $196.01 | |
Cigna
| Professional | $30.59 | $55.65 | $107.00 | |
Medica
| Facility | $54.29 | $73.37 | $123.26 | |
Medica
| Professional | $30.82 | $31.68 | $110.06 | |
United
| Professional | $30.82 | $30.82 | $46.96 |