| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $46.71 | $97.97 | $160.16 | |
Aetna
| Professional | $32.74 | $37.97 | $46.71 | |
BCBS
| Facility | $101.36 | $107.76 | $161.63 | |
BCBS
| Professional | $68.64 | $68.64 | $68.64 | |
Cigna
| Facility | $35.49 | $82.16 | $249.75 | |
Cigna
| Professional | $27.73 | $71.77 | $86.00 | |
Medica
| Facility | $35.79 | $56.75 | $82.27 | |
Medica
| Professional | $18.32 | $35.72 | $218.25 | |
United
| Facility | $120.04 | $120.04 | $120.04 | |
United
| Professional | $18.32 | $26.19 | $65.48 |