| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $31.97 | $51.72 | $140.01 | |
Aetna
| Professional | $23.33 | $26.32 | $29.83 | |
BCBS
| Facility | $21.34 | $81.05 | $128.38 | |
BCBS
| Professional | $20.32 | $29.56 | $143.18 | |
Cigna
| Facility | $24.16 | $61.59 | $102.65 | |
Medica
| Facility | $23.51 | $35.09 | $62.44 | |
Medica
| Professional | $14.74 | $14.74 | $175.45 | |
United
| Professional | $14.74 | $14.74 | $21.05 |