| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $40.86 | $40.86 | $40.86 | |
Aetna
| Professional | $31.64 | $40.86 | $59.29 | |
BCBS
| Facility | $19.20 | $45.36 | $112.18 | |
BCBS
| Professional | $52.00 | $64.00 | $151.19 | |
Cigna
| Professional | $43.49 | $43.49 | $43.49 | |
Medica
| Facility | $40.86 | $82.97 | $152.31 | |
Medica
| Professional | $32.61 | $36.11 | $397.13 | |
United
| Professional | $28.08 | $36.11 | $54.41 |