| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $18.20 | $18.20 | $18.20 | |
Aetna
| Professional | $15.14 | $18.20 | $23.99 | |
BCBS
| Professional | $33.11 | $38.90 | $51.29 | |
Cigna
| Professional | $10.72 | $13.49 | $14.13 | |
Medica
| Facility | $15.14 | $18.62 | $54.95 | |
Medica
| Professional | $18.62 | $39.81 | $154.88 | |
United
| Professional | $21.88 | $38.90 | $45.71 |