| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $25.72 | $370.50 | $477.63 | |
Aetna
| Professional | $25.72 | $40.04 | $46.57 | |
BCBS
| Facility | $569.26 | $884.12 | $1,389.13 | |
BCBS
| Professional | $26.95 | $47.60 | $65.36 | |
Cigna
| Facility | $400.00 | $400.00 | $400.00 | |
Cigna
| Professional | $19.63 | $37.40 | $68.56 | |
Medica
| Facility | $25.72 | $43.51 | $67.80 | |
Medica
| Facility | AS | $11.96 | $11.96 | $11.96 |
Medica
| Professional | $36.88 | $44.79 | $318.22 | |
United
| Professional | $35.72 | $44.79 | $47.42 |