| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $50.61 | $111.08 | $221.61 | |
Aetna
| Professional | $37.21 | $44.65 | $357.12 | |
BCBS
| Facility | $31.07 | $122.23 | $203.29 | |
BCBS
| Professional | $32.17 | $46.79 | $66.68 | |
Cigna
| Facility | $39.22 | $90.25 | $162.44 | |
Cigna
| Professional | $37.94 | $67.73 | $84.66 | |
Medica
| Facility | $40.93 | $57.79 | $263.82 | |
Medica
| Professional | $23.33 | $23.33 | $44.43 | |
United
| Professional | $23.33 | $23.33 | $35.71 |