| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $20.26 | $20.26 | $20.26 | |
Aetna
| Professional | $14.32 | $17.76 | $20.26 | |
BCBS
| Professional | $25.45 | $30.77 | $33.94 | |
Cigna
| Facility | $48.75 | $48.75 | $56.06 | |
Cigna
| Professional | $32.25 | $32.57 | $40.31 | |
Medica
| Facility | $20.26 | $27.84 | $50.11 | |
Medica
| Professional | $11.09 | $11.81 | $27.84 | |
United
| Professional | $9.24 | $11.81 | $36.75 |