| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $77.40 | $77.40 | $77.40 | |
Aetna
| Professional | $27.03 | $50.71 | $77.40 | |
BCBS
| Facility | $71.53 | $78.04 | $82.78 | |
BCBS
| Professional | $77.47 | $77.47 | $77.47 | |
Cigna
| Facility | $58.60 | $58.60 | $58.60 | |
Cigna
| Professional | $42.78 | $58.60 | $135.94 | |
Medica
| Facility | $27.03 | $75.33 | $437.39 | |
Medica
| Professional | $27.91 | $46.63 | $119.43 | |
United
| Professional | $27.91 | $46.48 | $62.45 |