| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $20.92 | $20.92 | $30.74 | |
Aetna
| Professional | $14.84 | $16.70 | $30.74 | |
BCBS
| Professional | $28.30 | $28.30 | $28.30 | |
Cigna
| Professional | $14.22 | $14.22 | $14.22 | |
Medica
| Facility | $15.44 | $24.06 | $41.19 | |
Medica
| Professional | $9.26 | $13.89 | $138.63 | |
United
| Professional | $9.26 | $13.89 | $19.92 |