| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $23.32 | $23.32 | $34.36 | |
Aetna
| Professional | $22.45 | $23.32 | $26.29 | |
BCBS
| Professional | $43.18 | $43.18 | $43.18 | |
Cigna
| Facility | $27.38 | $27.38 | $27.38 | |
Cigna
| Professional | $19.98 | $27.38 | $27.38 | |
Medica
| Facility | $14.11 | $29.62 | $228.34 | |
Medica
| Professional | $14.57 | $23.51 | $48.78 | |
United
| Professional | $14.57 | $21.86 | $31.36 |