| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $16.30 | $16.30 | $16.30 | |
Aetna
| Professional | $12.96 | $16.07 | $16.30 | |
BCBS
| Professional | $20.96 | $24.78 | $25.40 | |
Cigna
| Professional | $29.25 | $29.54 | $37.15 | |
Medica
| Facility | $12.26 | $16.30 | $113.07 | |
Medica
| Professional | $8.93 | $11.87 | $18.12 | |
United
| Professional | $7.13 | $11.87 | $25.43 |