| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $26.97 | $43.63 | $118.10 | |
Aetna
| Professional | $19.68 | $22.20 | $27.96 | |
BCBS
| Facility | $18.30 | $69.52 | $110.12 | |
BCBS
| Professional | $17.43 | $25.35 | $122.80 | |
Cigna
| Facility | $24.00 | $51.95 | $86.58 | |
Medica
| Facility | $19.82 | $29.60 | $59.19 | |
Medica
| Professional | $12.43 | $13.81 | $148.00 | |
United
| Professional | $12.43 | $13.81 | $17.76 |