| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $71.77 | $71.77 | $71.77 | |
Aetna
| Professional | $25.16 | $53.83 | $71.77 | |
BCBS
| Professional | $47.38 | $47.38 | $47.38 | |
Cigna
| Facility | $46.80 | $46.80 | $46.80 | |
Cigna
| Professional | $46.80 | $46.80 | $115.31 | |
Medica
| Facility | $33.54 | $67.19 | $380.20 | |
Medica
| Professional | $25.66 | $40.58 | $65.76 | |
United
| Professional | $25.66 | $40.58 | $65.76 |