| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $12.00 | $250.10 | $253.15 | |
Aetna
| Professional | $12.00 | $16.55 | $54.00 | |
BCBS
| Professional | $25.90 | $34.54 | $38.76 | |
Cigna
| Professional | $19.82 | $20.02 | $25.18 | |
Medica
| Facility | $12.00 | $25.71 | $272.31 | |
Medica
| Professional | $7.20 | $19.95 | $29.14 | |
United
| Professional | $7.20 | $10.17 | $24.94 |