| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $62.58 | $62.58 | $72.38 | |
Aetna
| Professional | $57.90 | $57.90 | $72.38 | |
BCBS
| Facility | $98.54 | $115.93 | $139.44 | |
BCBS
| Professional | $60.31 | $60.31 | $60.31 | |
Cigna
| Facility | $61.52 | $61.52 | $74.00 | |
Cigna
| Professional | $61.52 | $61.52 | $61.52 | |
Medica
| Facility | $57.90 | $62.58 | $92.64 | |
Medica
| Professional | $60.32 | $60.32 | $477.55 | |
United
| Professional | $60.32 | $60.32 | $67.90 |