| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $2.17 | $103.08 | $837.07 | |
Aetna
| Professional | $2.17 | $6.73 | $66.75 | |
Aetna
| Professional | 52 | $1.02 | $1.62 | $3.41 |
BCBS
| Professional | $3.95 | $12.87 | $16.23 | |
Cigna
| Professional | $3.78 | $6.64 | $17.70 | |
Medica
| Facility | $2.17 | $6.14 | $12.99 | |
Medica
| Professional | $6.70 | $13.23 | $67.00 | |
United
| Professional | $6.02 | $10.03 | $13.25 |