| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $21.07 | $39.04 | $84.40 | |
Aetna
| Professional | $16.57 | $31.09 | $48.94 | |
BCBS
| Professional | $22.13 | $26.03 | $48.12 | |
Cigna
| Facility | $73.83 | $132.34 | $174.06 | |
Cigna
| Professional | $18.92 | $37.29 | $75.09 | |
Medica
| Facility | $17.55 | $37.69 | $84.40 | |
Medica
| Professional | $30.85 | $44.30 | $251.37 | |
United
| Professional | $30.82 | $44.30 | $87.40 |