| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $29.14 | $29.14 | $42.95 | |
Aetna
| Professional | $28.06 | $29.14 | $32.90 | |
BCBS
| Professional | $53.96 | $53.96 | $53.96 | |
Cigna
| Facility | $34.22 | $34.22 | $36.71 | |
Cigna
| Professional | $24.98 | $34.22 | $36.71 | |
Medica
| Facility | $17.64 | $37.02 | $285.48 | |
Medica
| Professional | $18.22 | $29.38 | $60.95 | |
United
| Professional | $18.22 | $28.66 | $39.20 |