| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $72.18 | $72.18 | $106.37 | |
Aetna
| Professional | $69.50 | $72.18 | $90.99 | |
BCBS
| Professional | $133.66 | $133.66 | $133.66 | |
Cigna
| Facility | $132.63 | $132.63 | $132.63 | |
Cigna
| Professional | $96.83 | $132.63 | $132.63 | |
Medica
| Facility | $48.80 | $94.62 | $797.99 | |
Medica
| Professional | $50.39 | $75.59 | $150.96 | |
United
| Professional | $50.39 | $74.91 | $108.44 |