| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $11.81 | $90.52 | $90.52 | |
Aetna
| Professional | $11.81 | $15.07 | $95.23 | |
BCBS
| Professional | $25.49 | $33.99 | $38.15 | |
Cigna
| Professional | $19.41 | $19.61 | $24.65 | |
Medica
| Facility | $11.81 | $20.07 | $341.00 | |
Medica
| Professional | $8.36 | $20.23 | $28.93 | |
United
| Professional | $7.09 | $11.80 | $28.93 |