| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $51.29 | $123.03 | $169.82 | |
Aetna
| Professional | $32.36 | $47.86 | $83.18 | |
BCBS
| Facility | $38.02 | $123.03 | $181.97 | |
BCBS
| Professional | $30.90 | $45.71 | $91.20 | |
Cigna
| Professional | $36.31 | $57.54 | $104.71 | |
Medica
| Facility | $33.11 | $48.98 | $83.18 | |
Medica
| Professional | $44.67 | $67.61 | $309.03 | |
United
| Professional | $32.36 | $48.98 | $83.18 |