| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $21.20 | $60.03 | $67.84 | |
Aetna
| Professional | $14.98 | $14.98 | $32.63 | |
BCBS
| Facility | $23.52 | $31.89 | $46.21 | |
BCBS
| Professional | $26.86 | $26.86 | $37.69 | |
Cigna
| Facility | $18.38 | $18.57 | $36.59 | |
Cigna
| Professional | $14.86 | $14.86 | $36.56 | |
Medica
| Facility | $18.66 | $24.03 | $94.70 | |
Medica
| Professional | $11.87 | $14.66 | $29.68 | |
United
| Professional | $11.87 | $13.19 | $18.38 |