| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $95.41 | $95.41 | $95.41 | |
Aetna
| Professional | $33.32 | $62.51 | $95.41 | |
BCBS
| Facility | $83.51 | $91.11 | $96.63 | |
BCBS
| Professional | $90.43 | $90.43 | $90.43 | |
Cigna
| Facility | $64.66 | $64.66 | $64.66 | |
Cigna
| Professional | $47.20 | $64.66 | $167.81 | |
Medica
| Facility | $33.32 | $92.87 | $539.41 | |
Medica
| Professional | $34.42 | $57.48 | $147.22 | |
United
| Professional | $34.42 | $55.69 | $77.00 |