| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $9.74 | $9.74 | $25.04 | |
Aetna
| Professional | $9.74 | $12.22 | $20.86 | |
BCBS
| Professional | $21.02 | $28.03 | $31.46 | |
Cigna
| Professional | $16.11 | $16.27 | $20.46 | |
Medica
| Facility | $9.74 | $20.87 | $83.01 | |
Medica
| Professional | $5.95 | $16.69 | $23.65 | |
United
| Professional | $5.84 | $16.69 | $20.55 |