| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $22.07 | $22.07 | $350.58 | |
Aetna
| Professional | $15.66 | $17.63 | $32.43 | |
BCBS
| Professional | $23.81 | $23.81 | $23.81 | |
Cigna
| Professional | $15.00 | $15.00 | $15.00 | |
Medica
| Facility | $16.29 | $25.38 | $43.46 | |
Medica
| Professional | $9.77 | $14.65 | $146.31 | |
United
| Professional | $9.77 | $14.65 | $21.02 |