| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $18.75 | $25.00 | $60.00 | |
Aetna
| Professional | $18.50 | $18.50 | $18.75 | |
BCBS
| Professional | $23.75 | $23.75 | $23.75 | |
Cigna
| Facility | $16.25 | $16.25 | $66.79 | |
Cigna
| Professional | $30.21 | $30.21 | $36.19 | |
Medica
| Facility | $18.50 | $25.00 | $42.00 | |
Medica
| Professional | $10.50 | $10.50 | $35.00 | |
United
| Professional | $10.50 | $10.50 | $16.00 |