| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $13.99 | $13.99 | $16.82 | |
Aetna
| Professional | $12.53 | $13.87 | $13.99 | |
BCBS
| Facility | $20.58 | $20.58 | $20.58 | |
BCBS
| Professional | $20.58 | $20.58 | $20.58 | |
Cigna
| Professional | $12.00 | $12.00 | $12.00 | |
Medica
| Facility | $13.79 | $15.44 | $37.60 | |
Medica
| Professional | $7.60 | $13.46 | $117.03 | |
United
| Professional | $6.64 | $11.04 | $14.30 |