| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $12.88 | $18.20 | $35.48 | |
Aetna
| Professional | $12.88 | $18.20 | $58.88 | |
BCBS
| Professional | $28.84 | $38.90 | $44.67 | |
Cigna
| Professional | $22.91 | $22.91 | $28.84 | |
Medica
| Facility | $13.80 | $23.44 | $93.33 | |
Medica
| Professional | $9.77 | $13.80 | $33.88 | |
United
| Professional | $9.77 | $19.95 | $33.11 |