| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $13.71 | $13.71 | $35.26 | |
Aetna
| Professional | $13.71 | $13.71 | $18.41 | |
BCBS
| Professional | $29.61 | $39.47 | $44.30 | |
Cigna
| Professional | $22.72 | $22.94 | $28.85 | |
Medica
| Facility | $13.71 | $29.39 | $93.18 | |
Medica
| Professional | $9.71 | $23.51 | $33.59 | |
United
| Professional | $8.23 | $19.98 | $33.59 |