| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $63.72 | $115.66 | $274.87 | |
Aetna
| Professional | $63.68 | $68.78 | $115.66 | |
BCBS
| Facility | $56.67 | $66.88 | $70.40 | |
BCBS
| Professional | $67.53 | $67.53 | $67.53 | |
Cigna
| Facility | $60.08 | $60.08 | $63.68 | |
Cigna
| Professional | $63.68 | $63.68 | $63.68 | |
Medica
| Facility | $58.08 | $73.09 | $106.42 | |
Medica
| Professional | $62.47 | $62.47 | $99.95 | |
United
| Professional | $63.68 | $63.68 | $101.89 |