| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $11.15 | $13.45 | $20.80 | |
BCBS
| Professional | $22.17 | $22.17 | $23.26 | |
Cigna
| Professional | $14.06 | $19.48 | $28.57 | |
Medica
| Facility | $11.15 | $12.73 | $19.27 | |
Medica
| Professional | $12.99 | $17.05 | $89.79 | |
United
| Professional | $12.99 | $16.98 | $22.04 |