| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $17.25 | $17.25 | $166.43 | |
Aetna
| Professional | $13.05 | $16.16 | $20.52 | |
BCBS
| Facility | $15.75 | $15.75 | $19.30 | |
BCBS
| Professional | $9.61 | $12.24 | $15.73 | |
Cigna
| Facility | $23.81 | $23.81 | $23.81 | |
Cigna
| Professional | $17.19 | $24.56 | $111.17 | |
Medica
| Facility | $13.91 | $18.98 | $28.95 | |
Medica
| Professional | $20.70 | $23.46 | $138.46 | |
United
| Professional | $19.94 | $23.46 | $37.78 |