| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $13.35 | $16.93 | $22.42 | |
BCBS
| Professional | $14.69 | $21.24 | $31.24 | |
Cigna
| Facility | $55.00 | $55.00 | $55.00 | |
Cigna
| Professional | $14.53 | $23.98 | $54.48 | |
Medica
| Facility | $14.53 | $18.07 | $31.44 | |
Medica
| Professional | $20.22 | $26.17 | $142.72 | |
United
| Facility | $24.58 | $24.58 | $24.58 | |
United
| Professional | $20.05 | $20.86 | $36.04 |