| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $33.02 | $33.02 | $33.02 | |
Aetna
| Professional | $31.80 | $33.02 | $52.53 | |
BCBS
| Professional | $56.26 | $61.15 | $61.15 | |
Cigna
| Facility | $52.17 | $52.17 | $52.17 | |
Cigna
| Professional | $44.34 | $52.17 | $59.30 | |
Medica
| Facility | $18.91 | $34.67 | $256.42 | |
Medica
| Professional | $27.91 | $45.14 | $81.29 | |
United
| Professional | $27.91 | $44.34 | $65.68 |