| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $14.75 | $55.51 | $63.62 | |
Aetna
| Professional | $16.22 | $17.51 | $55.51 | |
BCBS
| Facility | $23.72 | $24.97 | $137.18 | |
BCBS
| Professional | $20.58 | $20.58 | $20.58 | |
Cigna
| Facility | $15.30 | $16.22 | $49.11 | |
Cigna
| Professional | $15.08 | $16.22 | $54.65 | |
Medica
| Facility | $15.18 | $15.18 | $141.51 | |
Medica
| Professional | $12.29 | $14.46 | $61.08 | |
United
| Professional | $6.49 | $16.22 | $27.57 |