| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $18.63 | $18.63 | $18.63 | |
Aetna
| Professional | $13.26 | $15.87 | $20.95 | |
Anthem BCBS
| Professional | $14.17 | $23.03 | $35.29 | |
Cigna
| Facility | $50.00 | $50.00 | $65.00 | |
Cigna
| Professional | $13.20 | $20.18 | $62.78 | |
Medica
| Facility | $13.91 | $17.48 | $30.53 | |
Medica
| Professional | $17.57 | $23.44 | $138.46 | |
United
| Professional | $16.25 | $20.92 | $36.69 |