| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $20.25 | $20.25 | $20.25 | |
Aetna
| Professional | $7.94 | $14.93 | $20.25 | |
BCBS
| Professional | $19.44 | $19.44 | $19.44 | |
Cigna
| Facility | $14.57 | $14.57 | $14.57 | |
Cigna
| Professional | $14.57 | $14.57 | $32.34 | |
Medica
| Facility | $7.94 | $18.96 | $104.55 | |
Medica
| Professional | $7.47 | $11.26 | $19.71 | |
United
| Professional | $7.50 | $11.26 | $18.67 |