| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $52.14 | $69.52 | $166.85 | |
Aetna
| Professional | $51.44 | $71.26 | $71.79 | |
BCBS
| Facility | $220.23 | $295.77 | $428.45 | |
BCBS
| Professional | $66.04 | $66.04 | $69.52 | |
Cigna
| Facility | $45.19 | $48.58 | $89.96 | |
Cigna
| Professional | $30.98 | $80.12 | $100.15 | |
Medica
| Facility | $54.75 | $72.33 | $330.22 | |
Medica
| Professional | $29.20 | $29.20 | $69.52 | |
United
| Professional | $29.20 | $29.20 | $41.71 |