| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $45.40 | $45.40 | $63.79 | |
Aetna
| Professional | $33.97 | $53.68 | $64.26 | |
BCBS
| Facility | $58.53 | $61.61 | $61.61 | |
BCBS
| Professional | $55.01 | $64.72 | $96.24 | |
Cigna
| Professional | $57.14 | $57.14 | $57.14 | |
Medica
| Facility | $38.18 | $61.62 | $95.87 | |
Medica
| Professional | $67.38 | $89.63 | $411.10 | |
United
| Professional | $48.71 | $70.55 | $100.94 |