| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $62.88 | $62.88 | $62.88 | |
Aetna
| Professional | $54.17 | $68.09 | $93.33 | |
BCBS
| Facility | $75.22 | $75.22 | $92.15 | |
BCBS
| Professional | $48.13 | $66.38 | $84.71 | |
Cigna
| Facility | $77.00 | $77.00 | $77.00 | |
Cigna
| Professional | $60.94 | $85.84 | $147.16 | |
Medica
| Facility | $59.82 | $69.17 | $112.01 | |
Medica
| Professional | $60.26 | $84.05 | $575.00 | |
United
| Professional | $60.18 | $73.93 | $122.31 |