| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $30.57 | $39.57 | $51.26 | |
Aetna
| Professional | $30.57 | $33.02 | $42.37 | |
BCBS
| Facility | $32.90 | $40.44 | $42.80 | |
BCBS
| Professional | $35.97 | $35.97 | $35.97 | |
Cigna
| Facility | $33.71 | $33.71 | $33.71 | |
Cigna
| Professional | $33.71 | $33.71 | $33.71 | |
Medica
| Facility | $28.13 | $35.97 | $39.86 | |
Medica
| Professional | $35.97 | $36.49 | $40.32 | |
United
| Professional | $35.25 | $36.49 | $40.49 |