| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $43.96 | $43.96 | $43.96 | |
Aetna
| Professional | $42.33 | $43.96 | $44.23 | |
BCBS
| Professional | $50.08 | $50.08 | $50.08 | |
Cigna
| Facility | $75.05 | $75.05 | $75.05 | |
Cigna
| Professional | $54.79 | $54.79 | $101.25 | |
Medica
| Facility | $43.96 | $46.16 | $472.60 | |
Medica
| Professional | $38.54 | $61.67 | $107.79 | |
United
| Professional | $38.54 | $57.82 | $107.79 |