| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $24.62 | $24.62 | $24.62 | |
Aetna
| Professional | $12.57 | $24.62 | $35.93 | |
BCBS
| Facility | $10.84 | $25.61 | $63.33 | |
BCBS
| Professional | $29.35 | $36.13 | $85.35 | |
Cigna
| Professional | $20.95 | $20.95 | $20.95 | |
Medica
| Facility | $24.62 | $41.04 | $74.11 | |
Medica
| Professional | $15.73 | $17.39 | $204.38 | |
United
| Professional | $13.63 | $17.39 | $26.21 |