| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $27.70 | $27.70 | $27.70 | |
Aetna
| Professional | $19.59 | $24.28 | $27.70 | |
BCBS
| Professional | $34.81 | $42.09 | $46.42 | |
Cigna
| Facility | $66.95 | $66.95 | $77.00 | |
Cigna
| Professional | $44.25 | $44.69 | $55.31 | |
Medica
| Facility | $27.70 | $38.07 | $68.53 | |
Medica
| Professional | $15.17 | $16.14 | $38.07 | |
United
| Professional | $12.64 | $15.83 | $38.07 |