| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $21.58 | $21.58 | $25.26 | |
Aetna
| Professional | $11.27 | $21.26 | $23.80 | |
BCBS
| Professional | $31.73 | $31.73 | $31.73 | |
Cigna
| Facility | $24.26 | $24.26 | $24.26 | |
Cigna
| Professional | $17.71 | $24.26 | $29.26 | |
Medica
| Facility | $10.51 | $22.66 | $169.60 | |
Medica
| Professional | $10.85 | $18.98 | $35.84 | |
United
| Professional | $10.85 | $17.16 | $25.53 |