| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $26.30 | $67.61 | $173.78 | |
Aetna
| Professional | $21.88 | $25.70 | $39.81 | |
BCBS
| Facility | $19.05 | $61.66 | $91.20 | |
BCBS
| Professional | $28.84 | $29.51 | $56.23 | |
Cigna
| Facility | $20.42 | $26.30 | $72.44 | |
Medica
| Facility | $22.91 | $33.88 | $61.66 | |
Medica
| Professional | $14.13 | $14.13 | $169.82 | |
United
| Facility | $30.20 | $33.88 | $40.74 | |
United
| Professional | $14.13 | $14.13 | $20.42 |