| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $14.57 | $98.81 | $98.81 | |
Aetna
| Professional | $14.57 | $18.87 | $27.39 | |
BCBS
| Professional | $31.33 | $41.93 | $46.82 | |
Cigna
| Professional | $23.95 | $24.19 | $30.42 | |
Medica
| Facility | $14.57 | $31.22 | $100.00 | |
Medica
| Professional | $10.32 | $24.97 | $35.69 | |
United
| Professional | $8.74 | $21.23 | $35.69 |