| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $23.18 | $23.18 | $23.18 | |
Aetna
| Professional | $16.39 | $20.30 | $23.18 | |
BCBS
| Professional | $29.13 | $35.22 | $38.85 | |
Cigna
| Facility | $55.79 | $55.79 | $64.16 | |
Cigna
| Professional | $36.75 | $37.11 | $45.94 | |
Medica
| Facility | $23.18 | $31.86 | $57.35 | |
Medica
| Professional | $12.69 | $13.51 | $31.86 | |
United
| Professional | $10.58 | $13.51 | $42.06 |