| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $70.14 | $70.14 | $70.14 | |
Aetna
| Professional | $67.54 | $70.14 | $75.00 | |
BCBS
| Professional | $88.38 | $129.88 | $129.88 | |
Cigna
| Facility | $83.71 | $83.71 | $83.71 | |
Cigna
| Professional | $38.19 | $61.11 | $83.71 | |
Medica
| Facility | $70.92 | $75.00 | $688.05 | |
Medica
| Professional | $43.95 | $70.91 | $146.71 | |
United
| Facility | $51.71 | $65.92 | $82.74 | |
United
| Professional | $43.95 | $69.66 | $103.42 |