| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $50.82 | $50.82 | $97.20 | |
Aetna
| Professional | $50.82 | $63.53 | $63.53 | |
BCBS
| Facility | $55.59 | $55.87 | $56.59 | |
BCBS
| Professional | $47.25 | $55.78 | $56.59 | |
Cigna
| Facility | $52.94 | $52.94 | $60.88 | |
Cigna
| Professional | $52.95 | $53.48 | $66.19 | |
Medica
| Facility | $42.57 | $56.12 | $86.39 | |
Medica
| Professional | $52.94 | $59.29 | $59.29 | |
United
| Professional | $52.94 | $59.29 | $59.29 |