| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $19.95 | $23.99 | $42.66 | |
Aetna
| Professional | $15.14 | $19.95 | $67.61 | |
BCBS
| Professional | $42.66 | $52.48 | $63.10 | |
Cigna
| Professional | $37.15 | $47.86 | $67.61 | |
Medica
| Facility | $14.45 | $26.92 | $109.65 | |
Medica
| Professional | $20.89 | $37.15 | $57.54 | |
United
| Facility | $26.30 | $26.30 | $26.30 | |
United
| Professional | $21.88 | $38.02 | $57.54 |