| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $30.86 | $49.91 | $135.10 | |
Aetna
| Professional | $22.52 | $25.40 | $28.78 | |
BCBS
| Facility | $20.60 | $78.23 | $123.94 | |
BCBS
| Professional | $19.61 | $28.53 | $138.18 | |
Cigna
| Facility | $19.67 | $52.82 | $94.64 | |
Medica
| Facility | $22.69 | $33.86 | $61.15 | |
Medica
| Professional | $14.22 | $14.22 | $169.30 | |
United
| Professional | $14.22 | $14.22 | $20.32 |