| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $17.47 | $17.47 | $17.47 | |
Aetna
| Professional | $8.85 | $10.24 | $17.47 | |
BCBS
| Facility | $61.65 | $70.80 | $75.09 | |
BCBS
| Professional | $70.28 | $70.28 | $70.28 | |
Cigna
| Professional | $13.47 | $13.47 | $13.47 | |
Medica
| Facility | $8.85 | $16.80 | $29.66 | |
Medica
| Professional | $6.78 | $10.61 | $159.56 | |
United
| Professional | $6.78 | $10.18 | $17.92 |