| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $22.78 | $36.85 | $99.75 | |
Aetna
| Professional | $16.63 | $18.75 | $21.25 | |
BCBS
| Facility | $55.68 | $211.46 | $334.98 | |
BCBS
| Professional | $12.08 | $17.57 | $85.13 | |
Cigna
| Facility | $18.23 | $43.88 | $73.13 | |
Medica
| Facility | $16.75 | $25.00 | $44.88 | |
Medica
| Professional | $10.50 | $10.50 | $125.00 | |
United
| Professional | $10.50 | $10.50 | $15.00 |