| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $53.70 | $100.00 | $208.93 | |
Aetna
| Professional | $36.31 | $47.86 | $54.95 | |
BCBS
| Professional | $102.33 | $102.33 | $102.33 | |
Cigna
| Facility | $36.31 | $102.33 | $275.42 | |
Cigna
| Professional | $26.30 | $64.57 | $81.28 | |
Medica
| Facility | $47.86 | $57.54 | $97.72 | |
Medica
| Professional | $23.44 | $33.11 | $89.13 | |
United
| Facility | $23.44 | $54.95 | $66.07 | |
United
| Professional | $23.44 | $33.11 | $54.95 |