| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $12.20 | $12.20 | $12.20 | |
Aetna
| Professional | $5.89 | $6.63 | $12.20 | |
BCBS
| Professional | $11.23 | $11.23 | $11.23 | |
Cigna
| Professional | $5.64 | $5.64 | $5.64 | |
Medica
| Facility | $6.13 | $9.56 | $16.35 | |
Medica
| Professional | $3.68 | $5.51 | $55.03 | |
United
| Professional | $3.68 | $5.51 | $7.91 |