| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $18.20 | $18.20 | $18.20 | |
Aetna
| Professional | $15.14 | $19.05 | $25.70 | |
BCBS
| Professional | $42.66 | $48.98 | $66.07 | |
Cigna
| Professional | $64.57 | $81.28 | $83.18 | |
Medica
| Facility | $15.85 | $19.05 | $63.10 | |
Medica
| Professional | $44.67 | $93.33 | $257.04 | |
United
| Professional | $44.67 | $67.61 | $107.15 |