| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $10.00 | $147.91 | $295.12 | |
Aetna
| Professional | $10.00 | $18.20 | $158.49 | |
BCBS
| Professional | $22.91 | $30.90 | $35.48 | |
Cigna
| Professional | $17.78 | $17.78 | $22.39 | |
Medica
| Facility | $10.96 | $18.62 | $102.33 | |
Medica
| Professional | $9.33 | $16.98 | $26.30 | |
United
| Professional | $9.33 | $16.98 | $26.30 |