| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $15.67 | $15.67 | $15.67 | |
Aetna
| Professional | $10.96 | $15.32 | $18.89 | |
BCBS
| Facility | $132.21 | $199.25 | $333.17 | |
BCBS
| Professional | $108.81 | $132.21 | $132.21 | |
Cigna
| Facility | $17.53 | $17.53 | $17.53 | |
Cigna
| Professional | $20.99 | $29.38 | $73.26 | |
Medica
| Facility | $12.12 | $20.51 | $32.22 | |
Medica
| Professional | $16.60 | $29.18 | $59.20 | |
United
| Professional | $16.60 | $27.56 | $47.92 |