| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $33.88 | $33.88 | $33.88 | |
Aetna
| Professional | $30.90 | $33.88 | $38.90 | |
BCBS
| Facility | $1.00 | $1.00 | $1.00 | |
Cigna
| Facility | $69.18 | $69.18 | $69.18 | |
Cigna
| Professional | $2.04 | $2.04 | $2.04 | |
Medica
| Facility | $31.62 | $34.67 | $457.09 | |
United
| Professional | $83.18 | $83.18 | $83.18 |