| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $15.14 | $19.95 | $616.60 | |
Aetna
| Professional | $15.14 | $19.95 | $25.70 | |
BCBS
| Professional | $32.36 | $43.65 | $50.12 | |
Cigna
| Professional | $25.12 | $25.12 | $32.36 | |
Medica
| Facility | $15.49 | $26.30 | $123.03 | |
Medica
| Professional | $9.12 | $15.49 | $38.02 | |
United
| Professional | $9.12 | $22.39 | $37.15 |