| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $62.86 | $87.47 | $200.00 | |
Aetna
| Professional | $48.66 | $54.51 | $119.58 | |
BCBS
| Facility | $21.69 | $29.21 | $42.97 | |
BCBS
| Professional | $57.41 | $69.70 | $82.01 | |
Cigna
| Facility | $55.00 | $65.00 | $88.00 | |
Cigna
| Professional | $37.07 | $70.00 | $114.34 | |
Medica
| Facility | $42.32 | $60.92 | $119.58 | |
Medica
| Professional | $34.22 | $48.72 | $344.63 | |
United
| Professional | $34.22 | $47.38 | $75.33 |