| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $15.71 | $25.89 | $50.26 | |
Aetna
| Professional | $15.50 | $15.50 | $15.71 | |
BCBS
| Facility | $34.88 | $47.30 | $68.53 | |
BCBS
| Professional | $19.89 | $19.89 | $19.89 | |
Cigna
| Facility | $13.03 | $14.63 | $30.76 | |
Cigna
| Professional | $9.36 | $19.07 | $30.46 | |
Medica
| Facility | $18.12 | $22.66 | $118.61 | |
Medica
| Professional | $8.78 | $10.87 | $26.18 | |
United
| Facility | $81.37 | $81.37 | $116.36 | |
United
| Professional | $8.78 | $10.47 | $13.61 |