| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $29.11 | $106.00 | $166.03 | |
Aetna
| Professional | $23.51 | $40.60 | $159.19 | |
BCBS
| Facility | $27.74 | $102.05 | $166.91 | |
BCBS
| Professional | $26.42 | $38.42 | $186.12 | |
Cigna
| Facility | $37.09 | $61.59 | $102.65 | |
Cigna
| Professional | $17.82 | $27.37 | $59.82 | |
Medica
| Facility | $25.86 | $36.84 | $84.31 | |
Medica
| Professional | $14.74 | $20.05 | $175.45 | |
United
| Professional | $14.74 | $20.05 | $21.05 |