| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $15.33 | $15.33 | $39.42 | |
Aetna
| Professional | $15.33 | $15.33 | $20.59 | |
BCBS
| Professional | $36.40 | $44.13 | $49.53 | |
Cigna
| Professional | $25.19 | $25.44 | $32.00 | |
Medica
| Facility | $15.33 | $27.38 | $104.03 | |
Medica
| Professional | $9.19 | $24.65 | $37.22 | |
United
| Professional | $9.19 | $12.34 | $30.66 |