| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $12.66 | $12.66 | $32.56 | |
Aetna
| Professional | $12.66 | $15.49 | $27.13 | |
BCBS
| Professional | $27.23 | $36.45 | $40.70 | |
Cigna
| Professional | $20.77 | $20.98 | $26.38 | |
Medica
| Facility | $12.66 | $21.52 | $100.00 | |
Medica
| Professional | $9.05 | $14.21 | $30.75 | |
United
| Professional | $10.85 | $14.21 | $23.52 |