| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $35.52 | $35.52 | $67.93 | |
Aetna
| Professional | $35.52 | $36.85 | $44.40 | |
BCBS
| Facility | $38.85 | $39.04 | $39.54 | |
BCBS
| Professional | $33.02 | $38.99 | $39.54 | |
Cigna
| Professional | $54.00 | $54.00 | $67.50 | |
Medica
| Facility | $31.86 | $60.38 | $106.56 | |
Medica
| Professional | $37.00 | $37.00 | $40.18 | |
United
| Professional | $31.45 | $37.00 | $40.18 |