| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $19.95 | $26.92 | $52.48 | |
Aetna
| Professional | $18.20 | $21.88 | $34.67 | |
BCBS
| Professional | $42.66 | $56.23 | $66.07 | |
Cigna
| Professional | $33.11 | $33.11 | $41.69 | |
Medica
| Facility | $17.38 | $22.39 | $52.48 | |
Medica
| Professional | $12.30 | $33.88 | $58.88 | |
United
| Professional | $12.30 | $29.51 | $50.12 |