| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $4.87 | $4.87 | $4.87 | |
Aetna
| Professional | $4.87 | $5.82 | $30.26 | |
BCBS
| Professional | $10.94 | $13.15 | $14.42 | |
Cigna
| Professional | $8.07 | $11.97 | $17.98 | |
Medica
| Facility | $4.13 | $5.82 | $59.88 | |
Medica
| Professional | $5.05 | $10.10 | $426.01 | |
United
| Professional | $5.05 | $9.99 | $15.53 |