| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $28.90 | $28.90 | $28.90 | |
Aetna
| Professional | $10.47 | $21.21 | $28.90 | |
BCBS
| Professional | $26.08 | $26.08 | $26.08 | |
Cigna
| Facility | $21.16 | $21.16 | $21.16 | |
Cigna
| Professional | $21.16 | $21.16 | $46.88 | |
Medica
| Facility | $10.47 | $27.05 | $151.87 | |
Medica
| Professional | $10.66 | $15.99 | $27.36 | |
United
| Professional | $10.66 | $15.99 | $27.36 |