| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $16.22 | $77.62 | $316.23 | |
Aetna
| Professional | $22.91 | $56.23 | $134.90 | |
BCBS
| Facility | $33.11 | $33.11 | $34.67 | |
BCBS
| Professional | $34.67 | $104.71 | $104.71 | |
Cigna
| Professional | $24.55 | $56.23 | $117.49 | |
Medica
| Facility | $23.99 | $58.88 | $134.90 | |
Medica
| Professional | $74.13 | $117.49 | $478.63 | |
United
| Professional | $25.70 | $61.66 | $109.65 |