| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $17.10 | $17.10 | $17.10 | |
Aetna
| Professional | $12.08 | $14.99 | $17.10 | |
BCBS
| Professional | $21.49 | $25.98 | $28.65 | |
Cigna
| Facility | $41.11 | $41.11 | $47.28 | |
Cigna
| Professional | $27.38 | $27.65 | $34.22 | |
Medica
| Facility | $17.10 | $23.50 | $42.30 | |
Medica
| Professional | $9.36 | $9.97 | $23.50 | |
United
| Professional | $6.64 | $9.77 | $19.00 |