| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $9.27 | $9.27 | $9.27 | |
Aetna
| Professional | $7.51 | $9.27 | $16.01 | |
BCBS
| Professional | $48.75 | $60.00 | $141.75 | |
Cigna
| Professional | $13.47 | $13.47 | $13.47 | |
Medica
| Facility | $9.27 | $18.76 | $32.46 | |
Medica
| Professional | $9.51 | $10.61 | $26.51 | |
United
| Professional | $7.07 | $10.61 | $18.66 |