| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $12.00 | $12.00 | $12.00 | |
Aetna
| Professional | $12.00 | $29.53 | $33.93 | |
BCBS
| Professional | $17.61 | $20.79 | $22.15 | |
Cigna
| Facility | $40.54 | $40.54 | $40.54 | |
Cigna
| Professional | $45.75 | $46.21 | $58.10 | |
Medica
| Facility | $12.00 | $49.84 | $71.64 | |
Medica
| Professional | $16.80 | $35.00 | $200.67 | |
United
| Professional | $16.21 | $32.35 | $54.23 |