| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $60.23 | $60.23 | $60.23 | |
Aetna
| Professional | $29.09 | $39.46 | $60.23 | |
BCBS
| Facility | $70.53 | $74.47 | $81.62 | |
BCBS
| Professional | $77.14 | $77.14 | $77.14 | |
Cigna
| Facility | $57.67 | $57.67 | $57.67 | |
Cigna
| Professional | $42.10 | $42.10 | $90.00 | |
Medica
| Facility | $29.09 | $60.23 | $275.93 | |
Medica
| Professional | $30.04 | $50.18 | $110.77 | |
United
| Professional | $30.51 | $48.51 | $67.20 |