| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $42.66 | $165.96 | $234.42 | |
Aetna
| Professional | $30.90 | $38.90 | $131.83 | |
BCBS
| Facility | $29.51 | $95.50 | $144.54 | |
BCBS
| Professional | $44.67 | $46.77 | $89.13 | |
Cigna
| Facility | $20.42 | $38.90 | $151.36 | |
Cigna
| Professional | $20.89 | $25.12 | $208.93 | |
Medica
| Facility | $34.67 | $51.29 | $93.33 | |
Medica
| Professional | $19.95 | $19.95 | $234.42 | |
United
| Facility | $42.66 | $46.77 | $56.23 | |
United
| Professional | $19.95 | $19.95 | $28.18 |