| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $38.61 | $76.33 | $199.16 | |
Aetna
| Professional | $26.32 | $33.52 | $37.54 | |
BCBS
| Professional | $50.03 | $50.03 | $50.03 | |
Cigna
| Facility | $31.02 | $66.06 | $200.40 | |
Cigna
| Professional | $18.45 | $18.45 | $18.45 | |
Medica
| Facility | $28.07 | $37.54 | $50.69 | |
Medica
| Professional | $14.74 | $28.88 | $175.45 | |
United
| Professional | $14.74 | $21.05 | $52.64 |