| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $68.14 | $125.74 | $191.04 | |
Aetna
| Professional | $68.70 | $75.59 | $140.59 | |
BCBS
| Facility | $50.94 | $211.42 | $333.30 | |
BCBS
| Professional | $38.25 | $55.64 | $405.10 | |
Cigna
| Facility | $60.08 | $63.68 | $63.68 | |
Cigna
| Professional | $63.68 | $63.68 | $63.68 | |
Medica
| Facility | $60.87 | $82.45 | $113.87 | |
Medica
| Professional | $62.47 | $62.47 | $68.92 | |
United
| Professional | $63.68 | $63.68 | $63.68 |