| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $72.38 | $72.38 | $72.38 | |
Aetna
| Professional | $36.67 | $40.86 | $72.38 | |
BCBS
| Facility | $73.52 | $84.44 | $89.57 | |
BCBS
| Professional | $83.81 | $83.81 | $83.81 | |
Cigna
| Professional | $43.49 | $43.49 | $43.49 | |
Medica
| Facility | $37.38 | $72.38 | $116.70 | |
Medica
| Professional | $28.33 | $42.49 | $397.13 | |
United
| Professional | $28.33 | $42.49 | $60.96 |