| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $10.00 | $22.91 | $22.91 | |
Aetna
| Professional | $10.00 | $14.13 | $23.99 | |
Anthem BCBS
| Professional | $10.47 | $12.02 | $21.88 | |
BCBS
| Professional | $14.45 | $14.45 | $23.99 | |
Cigna
| Professional | $12.02 | $12.02 | $12.02 | |
Medica
| Facility | $13.18 | $23.44 | $64.57 | |
Medica
| Professional | $8.32 | $11.75 | $117.49 | |
United
| Facility | $12.59 | $15.14 | $23.99 | |
United
| Professional | $7.76 | $11.22 | $17.78 |