| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $71.95 | $142.41 | $220.06 | |
Aetna
| Professional | $51.69 | $59.96 | $73.73 | |
BCBS
| Professional | $86.15 | $86.15 | $86.15 | |
Cigna
| Facility | $45.30 | $72.58 | $155.97 | |
Cigna
| Professional | $56.18 | $99.12 | $108.00 | |
Medica
| Facility | $36.53 | $36.53 | $119.92 | |
Medica
| Professional | $28.95 | $48.62 | $137.75 | |
United
| Facility | $189.53 | $189.53 | $189.53 | |
United
| Professional | $28.95 | $41.35 | $137.75 |