| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $47.95 | $47.95 | $47.95 | |
Aetna
| Professional | $46.17 | $47.95 | $51.75 | |
BCBS
| Professional | $88.79 | $88.79 | $88.79 | |
Cigna
| Facility | $53.85 | $53.85 | $53.85 | |
Cigna
| Professional | $39.31 | $78.84 | $86.19 | |
Medica
| Facility | $27.76 | $60.89 | $456.49 | |
Medica
| Professional | $28.66 | $48.33 | $100.29 | |
United
| Professional | $28.66 | $43.00 | $61.68 |