| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $52.74 | $52.74 | $52.74 | |
Aetna
| Professional | $41.93 | $46.97 | $52.74 | |
BCBS
| Professional | $77.89 | $94.17 | $103.85 | |
Cigna
| Facility | $109.83 | $109.83 | $126.30 | |
Cigna
| Professional | $70.13 | $70.83 | $87.66 | |
Medica
| Facility | $52.74 | $85.18 | $153.32 | |
Medica
| Professional | $33.93 | $36.11 | $85.18 | |
United
| Professional | $28.28 | $35.40 | $67.86 |