| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $37.26 | $37.26 | $37.26 | |
Aetna
| Professional | $29.74 | $33.32 | $37.26 | |
BCBS
| Professional | $55.28 | $66.83 | $73.70 | |
Cigna
| Facility | $78.11 | $78.11 | $89.83 | |
Cigna
| Professional | $72.38 | $73.09 | $90.47 | |
Medica
| Facility | $37.26 | $60.45 | $108.81 | |
Medica
| Professional | $24.08 | $25.63 | $60.45 | |
United
| Professional | $20.07 | $28.46 | $79.79 |