| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $20.54 | $48.66 | $57.00 | |
Aetna
| Professional | $48.22 | $48.66 | $53.21 | |
BCBS
| Facility | $57.04 | $89.29 | $136.30 | |
BCBS
| Professional | $32.77 | $50.75 | $69.69 | |
Cigna
| Facility | $55.00 | $65.00 | $89.00 | |
Cigna
| Professional | $37.07 | $65.09 | $113.94 | |
Medica
| Facility | $42.23 | $52.16 | $108.38 | |
Medica
| Professional | $38.35 | $46.01 | $73.50 | |
United
| Professional | $38.35 | $46.01 | $65.76 |