| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $15.06 | $15.06 | $15.06 | |
Aetna
| Professional | $5.78 | $13.20 | $15.06 | |
BCBS
| Professional | $19.35 | $22.88 | $23.45 | |
Cigna
| Professional | $24.00 | $24.24 | $30.48 | |
Medica
| Facility | $10.09 | $15.06 | $92.20 | |
Medica
| Professional | $8.25 | $10.24 | $16.75 | |
United
| Professional | $5.85 | $9.75 | $16.50 |