| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $14.38 | $14.38 | $15.00 | |
Aetna
| Professional | $11.66 | $15.00 | $15.00 | |
BCBS
| Professional | $12.40 | $16.22 | $19.32 | |
Cigna
| Professional | $31.84 | $33.75 | $40.44 | |
Medica
| Facility | $12.22 | $15.00 | $57.10 | |
Medica
| Professional | $45.81 | $70.48 | $178.47 | |
United
| Professional | $36.09 | $64.84 | $71.48 |