| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $20.38 | $20.38 | $24.50 | |
Aetna
| Professional | $20.07 | $20.07 | $20.38 | |
BCBS
| Facility | $29.97 | $29.97 | $29.97 | |
BCBS
| Professional | $20.39 | $29.97 | $29.97 | |
Cigna
| Facility | $12.60 | $21.22 | $21.22 | |
Cigna
| Professional | $18.04 | $18.04 | $28.22 | |
Medica
| Facility | $9.68 | $21.40 | $157.81 | |
Medica
| Professional | $9.98 | $16.93 | $33.43 | |
United
| Professional | $9.98 | $15.44 | $21.50 |