| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $15.14 | $18.20 | $23.99 | |
BCBS
| Professional | $6.03 | $6.03 | $6.03 | |
Cigna
| Professional | $15.14 | $23.99 | $33.88 | |
Medica
| Facility | $8.91 | $16.60 | $23.44 | |
Medica
| Professional | $12.30 | $24.55 | $154.88 | |
United
| Facility | $10.47 | $10.47 | $10.47 | |
United
| Professional | $10.47 | $21.88 | $35.48 |