| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $10.85 | $147.35 | $148.05 | |
Aetna
| Professional | $10.85 | $17.05 | $155.75 | |
BCBS
| Professional | $23.42 | $31.23 | $35.04 | |
Cigna
| Professional | $17.76 | $17.94 | $22.55 | |
Medica
| Facility | $10.85 | $23.25 | $101.29 | |
Medica
| Professional | $9.30 | $17.01 | $26.58 | |
United
| Professional | $9.30 | $17.01 | $26.58 |