| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $69.56 | $69.56 | $102.54 | |
Aetna
| Professional | $66.98 | $69.56 | $78.44 | |
BCBS
| Professional | $128.83 | $128.83 | $128.83 | |
Cigna
| Facility | $81.70 | $81.70 | $81.70 | |
Cigna
| Professional | $59.64 | $81.70 | $81.70 | |
Medica
| Facility | $42.11 | $89.58 | $681.55 | |
Medica
| Professional | $43.49 | $70.13 | $145.53 | |
United
| Professional | $43.49 | $65.23 | $93.57 |