| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $37.07 | $37.56 | $44.83 | |
Aetna
| Professional | $14.15 | $16.53 | $24.23 | |
BCBS
| Facility | $263.50 | $1,036.56 | $1,723.97 | |
BCBS
| Professional | $359.00 | $410.28 | $512.85 | |
Cigna
| Facility | $17.53 | $17.53 | $17.53 | |
Cigna
| Professional | $13.38 | $20.07 | $26.59 | |
Medica
| Facility | $14.87 | $24.23 | $71.14 | |
Medica
| Professional | $13.54 | $14.82 | $100.43 | |
United
| Professional | $13.31 | $14.82 | $29.90 |