| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $19.95 | $19.95 | $36.31 | |
Aetna
| Professional | $19.95 | $19.95 | $19.95 | |
BCBS
| Professional | $10.23 | $13.49 | $15.14 | |
Cigna
| Facility | $213.80 | $213.80 | $245.47 | |
Cigna
| Professional | $18.20 | $22.91 | $23.44 | |
Medica
| Facility | $19.95 | $19.95 | $37.15 | |
United
| Professional | $26.30 | $26.30 | $26.30 |