| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $57.15 | $57.15 | $57.15 | |
Aetna
| Professional | $51.31 | $60.67 | $82.95 | |
BCBS
| Facility | $19.20 | $45.36 | $112.18 | |
BCBS
| Professional | $52.00 | $64.00 | $151.19 | |
Cigna
| Professional | $47.79 | $47.79 | $47.79 | |
Medica
| Facility | $57.15 | $119.03 | $212.83 | |
Medica
| Professional | $45.58 | $50.47 | $84.12 | |
United
| Professional | $39.22 | $50.47 | $76.03 |