| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $49.13 | $113.08 | $281.00 | |
Aetna
| Professional | $73.48 | $73.48 | $159.00 | |
BCBS
| Facility | $8.69 | $34.29 | $52.34 | |
BCBS
| Professional | $11.00 | $16.00 | $77.50 | |
Cigna
| Facility | $38.59 | $48.81 | $128.38 | |
Cigna
| Professional | $37.25 | $37.25 | $37.25 | |
Medica
| Facility | $70.29 | $88.19 | $167.01 | |
Medica
| Professional | $29.52 | $34.40 | $350.04 | |
United
| Professional | $29.52 | $34.40 | $49.15 |