| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $53.13 | $53.13 | $55.49 | |
Aetna
| Professional | $23.93 | $36.60 | $68.44 | |
BCBS
| Facility | $21.92 | $79.19 | $143.16 | |
BCBS
| Professional | $54.80 | $73.06 | $99.56 | |
Cigna
| Facility | $57.67 | $57.67 | $57.67 | |
Cigna
| Professional | $42.10 | $42.10 | $72.00 | |
Medica
| Facility | $29.09 | $59.83 | $275.93 | |
Medica
| Professional | $38.19 | $45.05 | $67.87 | |
United
| Professional | $40.68 | $45.05 | $67.87 |