| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $16.23 | $16.23 | $34.10 | |
Aetna
| Professional | $15.94 | $23.98 | $39.76 | |
BCBS
| Facility | $64.33 | $87.24 | $126.36 | |
BCBS
| Professional | $14.14 | $17.89 | $35.79 | |
Cigna
| Facility | $75.26 | $75.30 | $219.86 | |
Cigna
| Professional | $18.44 | $32.38 | $48.26 | |
Medica
| Facility | $16.23 | $29.95 | $48.76 | |
Medica
| Professional | $28.17 | $36.45 | $251.37 | |
United
| Professional | $29.16 | $35.28 | $62.40 |