| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $52.19 | $89.38 | $99.00 | |
Aetna
| Professional | $36.85 | $49.50 | $75.00 | |
BCBS
| Facility | $21.41 | $58.36 | $231.36 | |
BCBS
| Professional | $24.52 | $35.67 | $314.88 | |
Cigna
| Facility | $48.76 | $48.76 | $48.76 | |
Cigna
| Professional | $48.76 | $48.76 | $48.76 | |
Medica
| Facility | $36.85 | $49.50 | $70.79 | |
Medica
| Professional | $49.20 | $52.10 | $52.25 | |
United
| Professional | $49.20 | $52.10 | $52.25 |