| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $61.14 | $78.27 | $133.62 | |
Aetna
| Professional | $30.57 | $35.00 | $55.00 | |
BCBS
| Facility | $28.16 | $106.95 | $169.42 | |
BCBS
| Professional | $19.78 | $28.78 | $190.68 | |
Cigna
| Facility | $33.71 | $33.71 | $33.71 | |
Cigna
| Professional | $33.71 | $33.71 | $33.71 | |
Medica
| Facility | $30.57 | $39.86 | $43.72 | |
Medica
| Professional | $35.97 | $38.61 | $41.00 | |
United
| Professional | $35.97 | $38.61 | $41.00 |