| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $91.98 | $91.98 | $91.98 | |
Aetna
| Professional | $27.76 | $60.26 | $91.98 | |
BCBS
| Facility | $82.76 | $87.12 | $92.68 | |
BCBS
| Professional | $91.48 | $91.48 | $91.48 | |
Cigna
| Facility | $53.85 | $53.85 | $53.85 | |
Cigna
| Professional | $39.31 | $39.31 | $145.31 | |
Medica
| Facility | $27.76 | $89.52 | $456.49 | |
Medica
| Professional | $28.66 | $53.57 | $92.74 | |
United
| Professional | $28.66 | $50.16 | $71.66 |