| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $15.52 | $129.93 | $192.78 | |
Aetna
| Professional | $15.52 | $21.08 | $32.50 | |
BCBS
| Professional | $36.86 | $44.67 | $50.13 | |
Cigna
| Professional | $25.61 | $25.86 | $32.52 | |
Medica
| Facility | $15.52 | $27.81 | $158.00 | |
Medica
| Professional | $9.31 | $25.23 | $37.69 | |
United
| Professional | $9.31 | $12.63 | $32.15 |