| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $16.70 | $16.70 | $16.70 | |
Aetna
| Professional | $8.52 | $16.70 | $24.38 | |
BCBS
| Facility | $7.35 | $17.37 | $42.95 | |
BCBS
| Professional | $19.92 | $24.51 | $57.91 | |
Cigna
| Professional | $14.22 | $14.22 | $14.22 | |
Medica
| Facility | $16.70 | $27.84 | $50.26 | |
Medica
| Professional | $10.67 | $11.81 | $138.63 | |
United
| Professional | $9.18 | $11.81 | $17.78 |