| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $26.32 | $35.09 | $84.22 | |
Aetna
| Professional | $18.60 | $26.32 | $36.86 | |
BCBS
| Facility | $66.64 | $90.37 | $130.90 | |
BCBS
| Professional | $33.34 | $33.34 | $33.34 | |
Cigna
| Facility | $22.81 | $22.81 | $93.75 | |
Cigna
| Professional | $18.45 | $18.45 | $46.20 | |
Medica
| Facility | $25.97 | $35.09 | $58.95 | |
Medica
| Professional | $14.74 | $20.22 | $52.95 | |
United
| Professional | $14.74 | $20.22 | $48.14 |