| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $8.91 | $8.91 | $8.91 | |
Aetna
| Professional | $8.91 | $22.91 | $53.70 | |
BCBS
| Professional | $19.50 | $22.39 | $29.51 | |
Cigna
| Professional | $11.22 | $17.78 | $21.38 | |
Medica
| Facility | $8.51 | $11.22 | $22.91 | |
Medica
| Professional | $8.51 | $18.20 | $331.13 | |
United
| Professional | $8.51 | $17.78 | $24.55 |