| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $76.48 | $81.31 | $161.16 | |
Aetna
| Professional | $38.36 | $57.60 | $215.00 | |
BCBS
| Facility | $25.18 | $90.95 | $164.43 | |
BCBS
| Professional | $62.95 | $83.93 | $113.30 | |
Cigna
| Facility | $59.92 | $59.92 | $59.92 | |
Cigna
| Professional | $43.74 | $43.74 | $79.80 | |
Medica
| Facility | $30.89 | $42.20 | $474.60 | |
Medica
| Professional | $31.89 | $47.84 | $72.06 | |
United
| Professional | $33.75 | $47.84 | $72.06 |