| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $19.79 | $19.79 | $23.78 | |
Aetna
| Professional | $17.71 | $19.61 | $19.79 | |
BCBS
| Facility | $29.10 | $29.10 | $29.10 | |
BCBS
| Professional | $29.10 | $29.10 | $29.10 | |
Cigna
| Professional | $13.56 | $13.56 | $18.01 | |
Medica
| Facility | $19.50 | $21.83 | $53.17 | |
Medica
| Professional | $10.76 | $19.02 | $165.49 | |
United
| Professional | $9.40 | $15.33 | $20.21 |