| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $59.86 | $59.86 | $59.86 | |
Aetna
| Professional | $27.89 | $44.07 | $59.86 | |
BCBS
| Professional | $67.81 | $67.81 | $67.81 | |
Cigna
| Facility | $43.15 | $43.15 | $43.15 | |
Cigna
| Professional | $43.15 | $43.15 | $93.28 | |
Medica
| Facility | $34.03 | $56.04 | $309.02 | |
Medica
| Professional | $21.28 | $32.95 | $54.34 | |
United
| Professional | $21.28 | $33.22 | $51.62 |