| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $78.69 | $78.69 | $78.69 | |
Aetna
| Professional | $25.13 | $58.01 | $78.69 | |
BCBS
| Professional | $180.44 | $180.44 | $180.44 | |
Cigna
| Facility | $44.33 | $44.33 | $44.33 | |
Cigna
| Professional | $37.68 | $67.81 | $127.50 | |
Medica
| Facility | $36.15 | $73.95 | $407.44 | |
Medica
| Professional | $27.39 | $43.67 | $65.69 | |
United
| Professional | $26.99 | $41.34 | $65.69 |