| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $28.18 | $53.70 | $109.65 | |
Aetna
| Professional | $19.05 | $22.91 | $47.86 | |
BCBS
| Facility | $28.18 | $41.69 | $43.65 | |
BCBS
| Professional | $36.31 | $36.31 | $36.31 | |
Cigna
| Facility | $23.99 | $53.70 | $114.82 | |
Cigna
| Professional | $13.18 | $28.18 | $53.70 | |
Medica
| Facility | $23.44 | $33.11 | $43.65 | |
Medica
| Professional | $12.30 | $17.38 | $144.54 | |
United
| Facility | $12.30 | $29.51 | $34.67 | |
United
| Professional | $12.30 | $17.38 | $38.02 |