| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $55.05 | $55.05 | $81.13 | |
Aetna
| Professional | $53.01 | $55.05 | $62.14 | |
BCBS
| Professional | $101.94 | $101.94 | $101.94 | |
Cigna
| Facility | $64.66 | $64.66 | $64.66 | |
Cigna
| Professional | $47.20 | $84.45 | $94.95 | |
Medica
| Facility | $33.32 | $69.92 | $539.41 | |
Medica
| Professional | $34.42 | $55.49 | $115.15 | |
United
| Professional | $34.42 | $52.49 | $74.05 |