| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $28.92 | $28.92 | $28.92 | |
Aetna
| Professional | $9.77 | $21.33 | $28.92 | |
BCBS
| Professional | $43.27 | $43.27 | $43.27 | |
Cigna
| Facility | $20.72 | $20.72 | $20.72 | |
Cigna
| Professional | $20.72 | $20.72 | $45.94 | |
Medica
| Facility | $10.93 | $27.08 | $148.63 | |
Medica
| Professional | $10.18 | $16.07 | $25.55 | |
United
| Professional | $10.18 | $15.28 | $25.46 |