| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $55.16 | $59.57 | $101.27 | |
Aetna
| Professional | $55.71 | $59.57 | $59.57 | |
BCBS
| Facility | $27.00 | $42.58 | $67.52 | |
Cigna
| Facility | $52.04 | $52.04 | $55.16 | |
Cigna
| Professional | $54.58 | $55.16 | $55.16 | |
Medica
| Facility | $47.63 | $57.91 | $236.62 | |
Medica
| Professional | $38.61 | $55.16 | $55.16 | |
United
| Facility | $88.42 | $88.42 | $88.42 | |
United
| Professional | $25.19 | $55.16 | $55.16 |