| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $71.12 | $71.12 | $71.12 | |
Aetna
| Professional | $30.95 | $52.47 | $71.12 | |
BCBS
| Professional | $85.47 | $85.47 | $85.47 | |
Cigna
| Facility | $48.69 | $48.69 | $48.69 | |
Cigna
| Professional | $48.69 | $48.69 | $108.28 | |
Medica
| Facility | $30.95 | $66.58 | $349.46 | |
Medica
| Professional | $24.51 | $40.63 | $75.95 | |
United
| Professional | $26.38 | $40.63 | $80.91 |