| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $24.09 | $24.09 | $263.38 | |
Aetna
| Professional | $22.53 | $23.74 | $24.09 | |
BCBS
| Facility | $35.43 | $35.43 | $35.43 | |
BCBS
| Professional | $28.89 | $35.43 | $35.43 | |
Cigna
| Facility | $22.39 | $26.66 | $26.66 | |
Cigna
| Professional | $22.66 | $22.66 | $35.43 | |
Medica
| Facility | $12.15 | $25.29 | $196.23 | |
Medica
| Professional | $12.54 | $21.26 | $39.51 | |
United
| Professional | $12.54 | $18.82 | $26.99 |