| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $18.89 | $18.89 | $18.89 | |
Aetna
| Professional | $9.11 | $10.27 | $18.89 | |
BCBS
| Professional | $17.55 | $20.89 | $20.89 | |
Cigna
| Professional | $8.75 | $8.75 | $8.75 | |
Medica
| Facility | $9.49 | $14.78 | $25.31 | |
Medica
| Professional | $5.69 | $8.53 | $85.21 | |
United
| Professional | $5.69 | $8.46 | $12.24 |