| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $55.91 | $55.91 | $55.91 | |
Aetna
| Professional | $25.82 | $41.57 | $55.91 | |
BCBS
| Professional | $79.78 | $79.78 | $79.78 | |
Cigna
| Facility | $39.01 | $39.01 | $39.01 | |
Cigna
| Professional | $39.01 | $39.01 | $84.38 | |
Medica
| Facility | $25.82 | $52.34 | $280.00 | |
Medica
| Professional | $19.64 | $33.19 | $60.97 | |
United
| Professional | $19.64 | $31.36 | $59.38 |