| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $19.95 | $19.95 | $134.90 | |
Aetna
| Professional | $19.95 | $19.95 | $19.95 | |
BCBS
| Facility | $28.84 | $28.84 | $32.36 | |
BCBS
| Professional | $30.20 | $30.90 | $30.90 | |
Cigna
| Professional | $28.84 | $28.84 | $28.84 | |
Medica
| Facility | $19.95 | $21.38 | $56.23 | |
Medica
| Professional | $22.39 | $22.39 | $22.39 | |
United
| Professional | $26.30 | $26.30 | $26.30 |