| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $31.87 | $52.64 | $719.51 | |
Aetna
| Professional | $17.53 | $38.01 | $58.02 | |
BCBS
| Professional | $57.69 | $57.69 | $57.69 | |
Cigna
| Facility | $36.61 | $36.61 | $36.61 | |
Cigna
| Professional | $26.73 | $36.61 | $104.53 | |
Medica
| Facility | $17.53 | $56.46 | $286.64 | |
Medica
| Professional | $18.10 | $34.45 | $58.05 | |
United
| Professional | $18.38 | $32.32 | $50.14 |