| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $89.13 | $89.13 | $89.13 | |
Aetna
| Professional | $45.71 | $61.66 | $95.50 | |
BCBS
| Facility | $85.11 | $91.20 | $95.50 | |
BCBS
| Professional | $100.00 | $100.00 | $100.00 | |
Cigna
| Facility | $64.57 | $64.57 | $64.57 | |
Cigna
| Professional | $46.77 | $46.77 | $134.90 | |
Medica
| Facility | $33.11 | $79.43 | $257.04 | |
Medica
| Professional | $34.67 | $57.54 | $588.84 | |
United
| Facility | $39.81 | $91.20 | $91.20 | |
United
| Professional | $38.02 | $54.95 | $77.62 |