| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $15.51 | $15.51 | $23.45 | |
Aetna
| Professional | $15.51 | $23.45 | $26.32 | |
BCBS
| Professional | $28.93 | $45.68 | $54.92 | |
Cigna
| Professional | $18.20 | $36.29 | $59.92 | |
Medica
| Facility | $15.51 | $26.37 | $46.53 | |
Medica
| Professional | $22.68 | $47.98 | $61.26 | |
United
| Professional | $25.66 | $49.55 | $61.26 |