| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $55.97 | $55.97 | $55.97 | |
Aetna
| Professional | $22.24 | $36.67 | $55.97 | |
BCBS
| Facility | $78.63 | $85.79 | $90.99 | |
BCBS
| Professional | $85.15 | $85.15 | $85.15 | |
Cigna
| Facility | $52.17 | $52.17 | $52.17 | |
Cigna
| Professional | $44.34 | $52.17 | $67.13 | |
Medica
| Facility | $18.91 | $54.86 | $256.42 | |
Medica
| Professional | $27.91 | $46.63 | $102.93 | |
United
| Professional | $29.56 | $46.21 | $65.20 |