| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $23.78 | $23.78 | $23.78 | |
Aetna
| Professional | $19.02 | $19.73 | $23.78 | |
BCBS
| Facility | $0.97 | $1.00 | $15.30 | |
BCBS
| Professional | $186.01 | $347.56 | $540.20 | |
Cigna
| Facility | $85.00 | $85.00 | $85.00 | |
Cigna
| Professional | $11.05 | $11.05 | $30.20 | |
Medica
| Facility | $19.02 | $23.78 | $65.16 | |
Medica
| Professional | $90.36 | $90.36 | $90.36 |