| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $17.46 | $17.46 | $17.46 | |
Aetna
| Professional | $12.36 | $15.30 | $17.46 | |
BCBS
| Professional | $22.43 | $26.52 | $27.18 | |
Cigna
| Professional | $27.75 | $28.03 | $35.24 | |
Medica
| Facility | $11.68 | $17.46 | $112.69 | |
Medica
| Professional | $9.33 | $11.17 | $19.41 | |
United
| Professional | $7.97 | $9.98 | $20.01 |