| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $16.84 | $43.31 | $110.18 | |
Aetna
| Professional | $16.84 | $28.87 | $51.78 | |
BCBS
| Professional | $40.00 | $48.48 | $54.41 | |
Cigna
| Professional | $27.67 | $27.95 | $35.14 | |
Medica
| Facility | $16.84 | $28.63 | $114.29 | |
Medica
| Professional | $10.11 | $24.65 | $40.90 | |
United
| Professional | $10.11 | $24.54 | $33.68 |