| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $103.95 | $103.95 | $103.95 | |
Aetna
| Professional | $11.04 | $18.01 | $64.80 | |
BCBS
| Facility | $7.93 | $28.64 | $51.78 | |
BCBS
| Professional | $19.82 | $26.43 | $36.01 | |
Cigna
| Facility | $21.22 | $21.22 | $26.21 | |
Cigna
| Professional | $18.04 | $18.04 | $27.42 | |
Medica
| Facility | $9.68 | $21.50 | $157.81 | |
Medica
| Professional | $11.83 | $14.98 | $22.57 | |
United
| Professional | $11.83 | $14.98 | $22.57 |