| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $21.77 | $21.77 | $29.64 | |
Aetna
| Professional | $21.77 | $29.01 | $37.64 | |
BCBS
| Facility | $23.68 | $23.68 | $29.01 | |
BCBS
| Professional | $15.96 | $22.02 | $31.21 | |
Cigna
| Facility | $38.79 | $38.79 | $38.79 | |
Cigna
| Professional | $23.98 | $36.28 | $81.09 | |
Medica
| Facility | $21.77 | $29.64 | $44.45 | |
Medica
| Professional | $28.52 | $43.65 | $200.17 | |
United
| Professional | $28.24 | $32.20 | $61.38 |