| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $55.16 | $55.16 | $99.29 | |
Aetna
| Professional | $55.16 | $55.16 | $66.73 | |
BCBS
| Facility | $59.85 | $60.15 | $60.60 | |
BCBS
| Professional | $50.87 | $60.06 | $60.92 | |
Cigna
| Professional | $54.60 | $55.15 | $68.25 | |
Medica
| Facility | $52.23 | $55.44 | $236.62 | |
Medica
| Professional | $22.06 | $55.16 | $61.78 | |
United
| Professional | $22.06 | $55.16 | $66.45 |