| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $42.24 | $42.24 | $62.26 | |
Aetna
| Professional | $40.68 | $42.24 | $47.68 | |
BCBS
| Professional | $78.23 | $78.23 | $78.23 | |
Cigna
| Facility | $56.02 | $56.02 | $56.02 | |
Cigna
| Professional | $40.89 | $40.89 | $103.13 | |
Medica
| Facility | $25.57 | $53.66 | $413.81 | |
Medica
| Professional | $26.40 | $42.58 | $88.36 | |
United
| Professional | $31.01 | $40.28 | $56.82 |