| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $48.22 | $48.22 | $48.22 | |
Aetna
| Professional | $15.93 | $31.59 | $48.22 | |
BCBS
| Facility | $32.79 | $35.78 | $37.95 | |
BCBS
| Professional | $35.51 | $35.51 | $35.51 | |
Cigna
| Facility | $30.91 | $30.91 | $30.91 | |
Cigna
| Professional | $22.56 | $30.91 | $95.63 | |
Medica
| Facility | $15.93 | $46.94 | $263.25 | |
Medica
| Professional | $16.45 | $29.05 | $74.39 | |
United
| Professional | $16.45 | $27.76 | $38.90 |