| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $44.65 | $44.65 | $65.80 | |
Aetna
| Professional | $42.99 | $44.65 | $50.40 | |
BCBS
| Professional | $56.26 | $82.68 | $82.68 | |
Cigna
| Facility | $58.60 | $58.60 | $58.60 | |
Cigna
| Professional | $42.78 | $58.60 | $58.60 | |
Medica
| Facility | $27.03 | $56.71 | $437.39 | |
Medica
| Professional | $27.91 | $45.01 | $93.39 | |
United
| Professional | $27.91 | $41.86 | $60.06 |