| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $51.34 | $51.34 | $51.34 | |
Aetna
| Professional | $26.01 | $29.53 | $51.34 | |
BCBS
| Facility | $63.24 | $72.63 | $77.04 | |
BCBS
| Professional | $72.09 | $72.09 | $72.09 | |
Cigna
| Professional | $30.86 | $30.86 | $30.86 | |
Medica
| Facility | $26.56 | $51.34 | $82.82 | |
Medica
| Professional | $20.10 | $30.16 | $282.11 | |
United
| Professional | $20.10 | $30.16 | $43.27 |