| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $48.50 | $48.50 | $48.50 | |
Aetna
| Professional | $18.94 | $35.77 | $48.50 | |
BCBS
| Professional | $46.38 | $46.38 | $46.38 | |
Cigna
| Facility | $35.11 | $35.11 | $35.11 | |
Cigna
| Professional | $35.11 | $35.11 | $77.34 | |
Medica
| Facility | $18.94 | $45.41 | $251.92 | |
Medica
| Professional | $17.89 | $26.96 | $47.13 | |
United
| Professional | $17.98 | $26.96 | $49.50 |