| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $26.95 | $26.95 | $39.72 | |
Aetna
| Professional | $25.95 | $26.95 | $30.42 | |
BCBS
| Professional | $49.91 | $49.91 | $49.91 | |
Cigna
| Facility | $33.22 | $33.22 | $33.22 | |
Cigna
| Professional | $24.25 | $33.22 | $33.22 | |
Medica
| Facility | $16.30 | $34.22 | $264.05 | |
Medica
| Professional | $16.85 | $27.17 | $56.38 | |
United
| Professional | $16.85 | $25.27 | $36.25 |