| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $47.63 | $47.63 | $47.63 | |
Aetna
| Professional | $28.13 | $32.67 | $100.00 | |
BCBS
| Facility | $18.46 | $66.70 | $120.59 | |
BCBS
| Professional | $46.15 | $61.54 | $83.84 | |
Cigna
| Facility | $36.61 | $36.61 | $36.61 | |
Cigna
| Professional | $26.73 | $26.73 | $83.63 | |
Medica
| Facility | $17.53 | $30.94 | $286.64 | |
Medica
| Professional | $24.51 | $27.15 | $41.20 | |
United
| Professional | $24.53 | $27.15 | $40.89 |