| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $63.72 | $63.72 | $63.72 | |
Aetna
| Professional | $36.65 | $50.39 | $82.69 | |
BCBS
| Facility | $20.36 | $73.55 | $132.97 | |
BCBS
| Professional | $50.90 | $67.87 | $92.48 | |
Cigna
| Facility | $58.60 | $58.60 | $58.60 | |
Cigna
| Professional | $42.78 | $42.78 | $108.75 | |
Medica
| Facility | $27.03 | $61.25 | $437.39 | |
Medica
| Professional | $37.79 | $41.86 | $63.06 | |
United
| Professional | $37.79 | $41.86 | $63.06 |