| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $62.41 | $62.41 | $62.41 | |
Aetna
| Professional | $62.41 | $62.41 | $63.04 | |
BCBS
| Professional | $56.28 | $63.31 | $68.56 | |
Cigna
| Facility | $139.66 | $139.66 | $160.61 | |
Cigna
| Professional | $64.50 | $65.15 | $80.63 | |
Medica
| Facility | $59.81 | $92.63 | $112.34 | |
Medica
| Professional | $59.81 | $59.81 | $66.98 | |
United
| Professional | $62.41 | $62.41 | $69.90 |