| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $15.32 | $15.32 | $15.32 | |
Aetna
| Professional | $7.40 | $8.33 | $15.32 | |
BCBS
| Professional | $14.24 | $16.94 | $16.94 | |
Cigna
| Professional | $7.09 | $7.09 | $7.09 | |
Medica
| Facility | $7.70 | $11.98 | $20.52 | |
Medica
| Professional | $4.62 | $6.92 | $69.12 | |
United
| Professional | $4.62 | $6.92 | $9.92 |