| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $28.29 | $28.29 | $28.29 | |
Aetna
| Professional | $25.32 | $31.93 | $41.37 | |
BCBS
| Professional | $90.70 | $90.70 | $90.70 | |
Cigna
| Facility | $624.00 | $624.00 | $624.00 | |
Cigna
| Professional | $46.21 | $48.50 | $58.10 | |
Medica
| Facility | $15.11 | $32.53 | $59.39 | |
Medica
| Professional | $2.67 | $19.00 | $200.67 | |
United
| Professional | $2.67 | $17.63 | $33.06 |