| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $31.97 | $121.05 | $309.63 | |
Aetna
| Professional | $23.51 | $33.52 | $48.18 | |
BCBS
| Facility | $28.79 | $109.33 | $173.19 | |
BCBS
| Professional | $27.41 | $39.86 | $193.09 | |
Cigna
| Facility | $16.00 | $61.59 | $102.65 | |
Cigna
| Professional | $18.45 | $18.45 | $18.45 | |
Medica
| Facility | $25.86 | $35.09 | $70.18 | |
Medica
| Professional | $14.74 | $20.22 | $175.45 | |
United
| Professional | $14.74 | $20.22 | $21.05 |