| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $24.27 | $24.27 | $24.27 | |
Aetna
| Professional | $8.06 | $17.82 | $24.27 | |
BCBS
| Professional | $40.11 | $40.11 | $40.11 | |
Cigna
| Facility | $17.30 | $17.30 | $17.30 | |
Cigna
| Professional | $14.71 | $20.83 | $38.44 | |
Medica
| Facility | $8.06 | $22.72 | $124.16 | |
Medica
| Professional | $8.50 | $13.43 | $21.06 | |
United
| Professional | $8.50 | $13.25 | $21.06 |