| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $0.11 | $0.11 | $16.42 | |
Aetna
| Professional | $12.48 | $16.42 | $16.42 | |
BCBS
| Facility | $292.23 | $318.83 | $338.19 | |
BCBS
| Professional | $300.64 | $300.64 | $300.64 | |
Cigna
| Professional | $10.19 | $10.19 | $10.19 | |
Medica
| Facility | $0.11 | $16.42 | $158.10 | |
Medica
| Professional | $5.74 | $13.49 | $19.13 | |
United
| Professional | $5.74 | $13.25 | $18.84 |