| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $30.90 | $114.82 | $128.82 | |
Aetna
| Professional | $12.59 | $24.55 | $120.23 | |
BCBS
| Professional | $25.12 | $33.11 | $38.90 | |
Cigna
| Professional | $19.95 | $19.95 | $25.12 | |
Medica
| Facility | $12.30 | $28.84 | $43.65 | |
Medica
| Professional | $7.24 | $8.71 | $29.51 | |
United
| Professional | $7.24 | $17.38 | $25.12 |