| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $22.84 | $22.84 | $22.84 | |
Aetna
| Professional | $11.66 | $22.84 | $33.34 | |
BCBS
| Facility | $10.06 | $23.76 | $58.75 | |
BCBS
| Professional | $27.24 | $33.52 | $79.19 | |
Cigna
| Professional | $19.44 | $19.44 | $19.44 | |
Medica
| Facility | $22.84 | $38.07 | $68.72 | |
Medica
| Professional | $14.59 | $16.14 | $189.59 | |
United
| Professional | $12.55 | $16.14 | $24.32 |