| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $126.85 | $126.85 | $126.85 | |
Aetna
| Professional | $72.00 | $83.11 | $126.85 | |
BCBS
| Facility | $84.83 | $92.56 | $98.16 | |
BCBS
| Professional | $91.87 | $91.87 | $91.87 | |
Cigna
| Facility | $52.17 | $52.17 | $52.17 | |
Cigna
| Professional | $38.08 | $52.17 | $189.84 | |
Medica
| Facility | $28.81 | $119.56 | $580.79 | |
Medica
| Professional | $63.35 | $105.85 | $297.23 | |
United
| Professional | $70.56 | $105.85 | $158.38 |