| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $25.95 | $25.95 | $25.95 | |
Aetna
| Professional | $12.53 | $14.10 | $25.95 | |
BCBS
| Professional | $24.13 | $28.69 | $28.69 | |
Cigna
| Professional | $12.00 | $12.00 | $12.00 | |
Medica
| Facility | $13.04 | $20.30 | $34.76 | |
Medica
| Professional | $7.82 | $11.72 | $117.03 | |
United
| Professional | $7.82 | $11.72 | $30.02 |