| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $11.72 | $11.72 | $11.72 | |
Aetna
| Professional | $10.87 | $11.82 | $25.11 | |
BCBS
| Professional | $19.30 | $25.73 | $28.19 | |
Cigna
| Professional | $16.64 | $24.69 | $36.51 | |
Medica
| Facility | $9.96 | $11.72 | $16.68 | |
Medica
| Professional | $11.91 | $21.67 | $70.50 | |
United
| Professional | $11.91 | $21.50 | $25.30 |