| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $39.94 | $39.94 | $39.94 | |
Aetna
| Professional | $28.24 | $35.00 | $39.94 | |
BCBS
| Professional | $50.19 | $60.68 | $66.92 | |
Cigna
| Facility | $96.32 | $96.32 | $110.76 | |
Cigna
| Professional | $63.75 | $64.39 | $79.69 | |
Medica
| Facility | $39.94 | $54.89 | $98.80 | |
Medica
| Professional | $21.87 | $23.27 | $54.89 | |
United
| Professional | $18.22 | $22.82 | $43.73 |