| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $17.82 | $24.62 | $24.62 | |
BCBS
| Facility | $1.00 | $1.00 | $1.25 | |
BCBS
| Professional | $19.43 | $25.91 | $43.08 | |
Cigna
| Facility | $21.16 | $21.16 | $21.16 | |
Cigna
| Professional | $17.98 | $21.16 | $37.50 | |
Medica
| Facility | $13.22 | $22.27 | $151.87 | |
Medica
| Professional | $11.24 | $15.99 | $24.42 | |
United
| Professional | $14.91 | $15.99 | $24.42 |