| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $38.79 | $49.50 | $60.88 | |
Aetna
| Professional | $36.85 | $49.50 | $60.88 | |
BCBS
| Facility | $29.79 | $33.47 | $35.24 | |
BCBS
| Professional | $52.10 | $52.10 | $52.10 | |
Cigna
| Facility | $48.76 | $48.76 | $48.76 | |
Cigna
| Professional | $48.76 | $48.76 | $48.76 | |
Medica
| Facility | $23.46 | $39.97 | $73.84 | |
Medica
| Professional | $46.50 | $51.38 | $52.25 | |
United
| Professional | $46.50 | $51.38 | $52.25 |