| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $54.95 | $54.95 | $54.95 | |
Aetna
| Professional | $48.98 | $61.66 | $104.71 | |
BCBS
| Professional | $102.33 | $102.33 | $102.33 | |
Cigna
| Facility | $64.57 | $64.57 | $64.57 | |
Cigna
| Professional | $46.77 | $46.77 | $125.89 | |
Medica
| Facility | $52.48 | $74.13 | $363.08 | |
Medica
| Professional | $34.67 | $56.23 | $141.25 | |
United
| Facility | $51.29 | $117.49 | $120.23 | |
United
| Professional | $34.67 | $51.29 | $74.13 |