| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $19.13 | $19.13 | $19.13 | |
Aetna
| Professional | $7.84 | $14.04 | $19.13 | |
BCBS
| Professional | $24.16 | $24.16 | $24.16 | |
Cigna
| Facility | $13.81 | $13.81 | $13.81 | |
Cigna
| Professional | $13.81 | $13.81 | $29.53 | |
Medica
| Facility | $7.84 | $17.91 | $99.12 | |
Medica
| Professional | $6.96 | $10.59 | $20.50 | |
United
| Professional | $7.06 | $10.59 | $20.50 |