| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $41.63 | $41.63 | $41.63 | |
Aetna
| Professional | $12.15 | $21.65 | $41.63 | |
BCBS
| Facility | $33.44 | $36.47 | $38.70 | |
BCBS
| Professional | $35.84 | $36.20 | $36.21 | |
Cigna
| Facility | $26.66 | $26.66 | $32.93 | |
Cigna
| Professional | $22.66 | $26.66 | $54.84 | |
Medica
| Facility | $12.15 | $32.74 | $196.23 | |
Medica
| Professional | $12.54 | $20.26 | $48.18 | |
United
| Professional | $12.54 | $20.26 | $29.08 |