| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $47.98 | $66.55 | $125.60 | |
Aetna
| Professional | $39.97 | $68.61 | $115.63 | |
BCBS
| Professional | $66.30 | $78.00 | $107.00 | |
Cigna
| Facility | $108.11 | $209.44 | $268.98 | |
Cigna
| Professional | $46.97 | $84.56 | $185.93 | |
Medica
| Facility | $39.97 | $93.20 | $170.83 | |
Medica
| Professional | $64.31 | $138.71 | $693.25 | |
United
| Professional | $60.22 | $115.89 | $168.90 |