| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $20.14 | $26.27 | $26.27 | |
BCBS
| Facility | $1.06 | $1.06 | $1.33 | |
BCBS
| Professional | $22.47 | $27.66 | $38.36 | |
Cigna
| Facility | $23.28 | $23.28 | $23.28 | |
Cigna
| Professional | $19.79 | $23.28 | $40.50 | |
Medica
| Facility | $14.99 | $26.27 | $167.12 | |
Medica
| Professional | $12.50 | $17.27 | $27.14 | |
United
| Professional | $13.89 | $17.27 | $25.85 |