| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $104.29 | $104.29 | $104.29 | |
Aetna
| Professional | $38.22 | $76.95 | $104.29 | |
BCBS
| Professional | $199.94 | $199.94 | $199.94 | |
Cigna
| Facility | $74.67 | $74.67 | $74.67 | |
Cigna
| Professional | $74.67 | $74.67 | $160.31 | |
Medica
| Facility | $47.95 | $97.64 | $535.95 | |
Medica
| Professional | $37.78 | $58.03 | $99.92 | |
United
| Professional | $38.22 | $58.03 | $94.46 |