| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $27.54 | $87.10 | $416.87 | |
Aetna
| Professional | $21.88 | $57.54 | $151.36 | |
BCBS
| Facility | $22.91 | $74.13 | $112.20 | |
BCBS
| Professional | $22.39 | $44.67 | $89.13 | |
Cigna
| Professional | $23.99 | $61.66 | $114.82 | |
Medica
| Facility | $21.88 | $51.29 | $97.72 | |
Medica
| Professional | $72.44 | $114.82 | $478.63 | |
United
| Professional | $22.91 | $60.26 | $134.90 |