| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $19.29 | $19.29 | $19.29 | |
Aetna
| Professional | $18.35 | $19.29 | $31.63 | |
BCBS
| Professional | $36.15 | $44.63 | $46.64 | |
Cigna
| Professional | $26.11 | $37.04 | $58.64 | |
Medica
| Facility | $16.39 | $22.24 | $57.87 | |
Medica
| Professional | $19.85 | $35.39 | $200.00 | |
United
| Professional | $19.80 | $32.04 | $43.60 |