| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $27.51 | $51.66 | $79.83 | |
Aetna
| Professional | $18.75 | $21.75 | $25.00 | |
BCBS
| Professional | $25.50 | $25.50 | $25.50 | |
Cigna
| Facility | $22.10 | $40.95 | $56.86 | |
Medica
| Facility | $20.00 | $25.00 | $33.63 | |
Medica
| Professional | $10.50 | $15.00 | $125.00 | |
United
| Facility | $68.75 | $68.75 | $68.75 | |
United
| Professional | $10.50 | $15.00 | $40.00 |