| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $30.94 | $30.94 | $30.94 | |
Aetna
| Professional | $11.56 | $22.71 | $30.94 | |
BCBS
| Professional | $33.47 | $33.47 | $33.47 | |
Cigna
| Facility | $22.28 | $22.28 | $22.28 | |
Cigna
| Professional | $22.28 | $22.28 | $49.69 | |
Medica
| Facility | $11.56 | $28.96 | $159.78 | |
Medica
| Professional | $10.76 | $17.12 | $30.21 | |
United
| Professional | $11.41 | $17.12 | $26.96 |