| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $28.95 | $28.95 | $28.95 | |
Aetna
| Professional | $22.41 | $28.95 | $42.06 | |
BCBS
| Facility | $13.63 | $32.21 | $79.64 | |
BCBS
| Professional | $36.90 | $45.43 | $107.33 | |
Cigna
| Professional | $30.86 | $30.86 | $30.86 | |
Medica
| Facility | $28.95 | $58.77 | $108.09 | |
Medica
| Professional | $23.14 | $25.63 | $282.11 | |
United
| Professional | $23.14 | $25.63 | $38.61 |