| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $10.00 | $25.12 | $64.57 | |
Aetna
| Professional | 25 | $12.30 | $12.30 | $12.30 |
BCBS
| Professional | $19.95 | $38.90 | $58.88 | |
Cigna
| Professional | $41.69 | $58.88 | $95.50 | |
Health Partners
| Professional | $39.81 | $52.48 | $85.11 | |
Medica
| Professional | $14.45 | $34.67 | $47.86 | |
United
| Professional | $14.45 | $35.48 | $57.54 |