| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $22.67 | $22.67 | $27.25 | |
Aetna
| Professional | $20.29 | $22.47 | $22.67 | |
BCBS
| Facility | $33.34 | $33.34 | $33.34 | |
BCBS
| Professional | $33.34 | $33.34 | $33.34 | |
Cigna
| Professional | $19.44 | $19.44 | $19.44 | |
Medica
| Facility | $22.34 | $25.01 | $60.91 | |
Medica
| Professional | $12.32 | $21.80 | $189.59 | |
United
| Professional | $10.76 | $17.22 | $23.16 |