| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $11.20 | $11.20 | $28.80 | |
Aetna
| Professional | $11.20 | $11.20 | $15.04 | |
BCBS
| Professional | $24.08 | $32.24 | $36.00 | |
Cigna
| Professional | $18.17 | $18.35 | $23.08 | |
Medica
| Facility | $11.20 | $19.04 | $76.00 | |
Medica
| Professional | $6.72 | $16.00 | $27.20 | |
United
| Professional | $6.72 | $8.16 | $23.20 |