| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $10.44 | $15.42 | $20.17 | |
BCBS
| Professional | $14.24 | $17.89 | $29.80 | |
Cigna
| Facility | $55.00 | $55.00 | $55.00 | |
Cigna
| Professional | $14.08 | $23.75 | $111.17 | |
Medica
| Facility | $13.29 | $15.64 | $22.09 | |
Medica
| Professional | $19.32 | $29.25 | $138.46 | |
United
| Professional | $19.18 | $21.11 | $36.78 |