| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $73.48 | $103.57 | $168.70 | |
Aetna
| Professional | $34.03 | $73.48 | $80.00 | |
BCBS
| Facility | $18.34 | $24.42 | $36.04 | |
BCBS
| Professional | $66.78 | $66.78 | $66.78 | |
Cigna
| Facility | $45.69 | $45.69 | $61.68 | |
Cigna
| Professional | $50.03 | $85.63 | $102.59 | |
Medica
| Facility | $69.92 | $77.16 | $115.98 | |
Medica
| Professional | $30.87 | $36.31 | $105.44 | |
United
| Professional | $30.87 | $34.40 | $86.46 |