| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $24.71 | $29.03 | $32.93 | |
BCBS
| Facility | $23.34 | $88.68 | $152.68 | |
BCBS
| Professional | $24.10 | $29.21 | $33.22 | |
Cigna
| Facility | $1,293.95 | $1,293.95 | $1,293.95 | |
Cigna
| Professional | $15.31 | $40.69 | $106.07 | |
Medica
| Facility | $24.68 | $31.93 | $59.27 | |
Medica
| Professional | $22.56 | $30.75 | $194.73 | |
United
| Professional | $22.10 | $29.50 | $54.57 |