| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $10.96 | $14.13 | $117.49 | |
BCBS
| Professional | $15.49 | $15.49 | $15.49 | |
Cigna
| Professional | $10.72 | $17.38 | $27.54 | |
Medica
| Facility | $14.13 | $19.05 | $25.12 | |
Medica
| Professional | $9.12 | $19.50 | $478.63 | |
United
| Facility | $11.75 | $11.75 | $11.75 | |
United
| Professional | $9.12 | $15.14 | $21.88 |