| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $77.45 | $144.76 | $217.14 | |
Aetna
| Professional | $57.90 | $60.08 | $61.52 | |
BCBS
| Facility | $52.11 | $192.16 | $340.36 | |
BCBS
| Professional | $50.67 | $57.90 | $65.14 | |
Cigna
| Facility | $61.52 | $61.52 | $61.52 | |
Cigna
| Professional | $61.52 | $61.52 | $61.52 | |
Medica
| Facility | $57.90 | $73.81 | $114.61 | |
Medica
| Professional | $60.32 | $60.32 | $477.55 | |
United
| Professional | $60.32 | $60.32 | $60.32 |