| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $56.82 | $56.82 | $83.74 | |
Aetna
| Professional | $54.72 | $56.82 | $64.05 | |
BCBS
| Professional | $105.23 | $105.23 | $105.23 | |
Cigna
| Facility | $75.09 | $75.09 | $75.09 | |
Cigna
| Professional | $54.82 | $75.09 | $75.09 | |
Medica
| Facility | $38.70 | $74.50 | $634.55 | |
Medica
| Professional | $39.97 | $59.95 | $118.85 | |
United
| Professional | $39.97 | $57.45 | $86.01 |