| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $65.31 | $65.31 | $65.31 | |
Aetna
| Professional | $65.31 | $74.64 | $75.34 | |
BCBS
| Professional | $90.70 | $133.29 | $133.29 | |
Cigna
| Facility | $98.15 | $98.15 | $98.15 | |
Cigna
| Professional | $71.65 | $98.15 | $98.15 | |
Medica
| Facility | $43.56 | $91.43 | $705.18 | |
Medica
| Professional | $44.99 | $86.93 | $150.56 | |
United
| Professional | $44.99 | $68.63 | $101.65 |