| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $85.43 | $85.43 | $85.43 | |
Aetna
| Professional | $14.97 | $20.57 | $73.08 | |
BCBS
| Facility | $9.82 | $35.49 | $64.16 | |
BCBS
| Professional | $24.56 | $32.74 | $44.61 | |
Cigna
| Facility | $24.80 | $24.80 | $24.80 | |
Cigna
| Professional | $18.10 | $18.10 | $44.63 | |
Medica
| Facility | $11.59 | $16.47 | $178.59 | |
Medica
| Professional | $15.43 | $17.09 | $25.75 | |
United
| Professional | $15.45 | $17.09 | $25.75 |