| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $29.15 | $29.15 | $29.15 | |
Aetna
| Professional | $10.92 | $21.49 | $29.15 | |
BCBS
| Professional | $75.69 | $75.69 | $75.69 | |
Cigna
| Facility | $21.27 | $21.27 | $21.27 | |
Cigna
| Professional | $21.27 | $21.27 | $46.88 | |
Medica
| Facility | $13.39 | $27.29 | $152.57 | |
Medica
| Professional | $10.75 | $16.19 | $28.31 | |
United
| Professional | $10.80 | $16.19 | $28.55 |