| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $38.70 | $38.70 | $73.20 | |
Aetna
| Professional | $38.70 | $62.11 | $92.43 | |
BCBS
| Facility | $42.64 | $42.64 | $52.23 | |
BCBS
| Professional | $28.36 | $51.22 | $77.29 | |
Cigna
| Facility | $68.90 | $68.90 | $68.90 | |
Cigna
| Professional | $42.10 | $81.45 | $157.79 | |
Medica
| Facility | $38.70 | $68.93 | $106.76 | |
Medica
| Professional | $70.37 | $107.71 | $513.01 | |
United
| Professional | $69.87 | $81.72 | $150.22 |