| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $54.44 | $77.26 | $84.99 | |
Aetna
| Professional | $65.67 | $65.67 | $84.99 | |
BCBS
| Facility | $69.48 | $83.23 | $87.61 | |
BCBS
| Professional | $73.62 | $73.62 | $73.62 | |
Cigna
| Facility | $72.25 | $72.25 | $72.25 | |
Cigna
| Professional | $72.25 | $72.25 | $72.25 | |
Medica
| Facility | $65.67 | $77.26 | $86.62 | |
Medica
| Professional | $77.26 | $78.39 | $86.61 | |
United
| Professional | $75.70 | $82.94 | $88.08 |