| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $8.34 | $430.99 | $874.99 | |
Aetna
| Professional | $12.25 | $13.56 | $13.68 | |
BCBS
| Facility | $20.12 | $20.12 | $20.12 | |
BCBS
| Professional | $20.12 | $20.12 | $20.12 | |
Cigna
| Professional | $11.73 | $11.73 | $11.73 | |
Medica
| Facility | $13.48 | $15.05 | $36.77 | |
Medica
| Professional | $7.44 | $13.15 | $114.44 | |
United
| Professional | $6.50 | $10.59 | $13.97 |