| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $16.98 | $165.96 | $165.96 | |
Aetna
| Professional | $12.88 | $15.85 | $21.88 | |
BCBS
| Facility | $15.85 | $17.78 | $19.50 | |
BCBS
| Professional | $10.23 | $13.18 | $17.38 | |
Cigna
| Professional | $15.49 | $23.44 | $42.66 | |
Medica
| Facility | $13.80 | $18.62 | $30.90 | |
Medica
| Professional | $19.95 | $23.44 | $138.04 | |
United
| Facility | $22.39 | $23.44 | $38.90 | |
United
| Professional | $19.50 | $23.44 | $42.66 |