| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $37.52 | $37.52 | $37.52 | |
Aetna
| Professional | $12.50 | $27.67 | $37.52 | |
BCBS
| Professional | $167.83 | $167.83 | $167.83 | |
Cigna
| Facility | $27.09 | $27.09 | $27.09 | |
Cigna
| Professional | $27.09 | $27.09 | $60.00 | |
Medica
| Facility | $15.14 | $35.13 | $194.27 | |
Medica
| Professional | $12.90 | $20.86 | $32.67 | |
United
| Professional | $12.90 | $20.41 | $32.24 |