| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $58.90 | $58.90 | $77.02 | |
Aetna
| Professional | $45.57 | $58.90 | $77.02 | |
BCBS
| Facility | $65.89 | $77.52 | $89.88 | |
Cigna
| Facility | $49.22 | $49.22 | $49.22 | |
Cigna
| Professional | $49.22 | $54.75 | $68.44 | |
Medica
| Facility | $45.57 | $45.57 | $316.83 | |
Medica
| Professional | $12.29 | $14.46 | $24.58 | |
United
| Professional | $6.49 | $16.22 | $27.57 |