| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $28.79 | $48.35 | $126.08 | |
Aetna
| Professional | $21.17 | $21.17 | $126.08 | |
BCBS
| Facility | $17.68 | $69.55 | $115.67 | |
BCBS
| Professional | $18.30 | $26.62 | $37.94 | |
Cigna
| Facility | $18.36 | $49.30 | $88.32 | |
Cigna
| Professional | $36.34 | $38.40 | $48.01 | |
Medica
| Facility | $16.43 | $23.38 | $150.10 | |
Medica
| Professional | $13.27 | $13.27 | $25.28 | |
United
| Professional | $13.27 | $13.27 | $25.28 |