| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $44.86 | $44.86 | $44.86 | |
Aetna
| Professional | $16.37 | $32.93 | $44.86 | |
BCBS
| Professional | $40.77 | $40.77 | $40.77 | |
Cigna
| Facility | $32.79 | $32.79 | $32.79 | |
Cigna
| Professional | $32.79 | $32.79 | $72.66 | |
Medica
| Facility | $16.37 | $41.99 | $235.26 | |
Medica
| Professional | $16.54 | $24.82 | $42.70 | |
United
| Professional | $16.54 | $24.82 | $42.79 |