| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $29.58 | $29.58 | $29.58 | |
Aetna
| Professional | $14.28 | $16.07 | $29.58 | |
BCBS
| Professional | $30.60 | $32.70 | $32.70 | |
Cigna
| Professional | $10.93 | $10.93 | $12.04 | |
Medica
| Facility | $14.86 | $23.17 | $39.63 | |
Medica
| Professional | $8.91 | $13.37 | $133.41 | |
United
| Professional | $8.91 | $13.37 | $19.19 |