| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $19.94 | $19.94 | $19.94 | |
Aetna
| Professional | $10.18 | $19.94 | $29.10 | |
BCBS
| Professional | $23.77 | $29.26 | $69.12 | |
Cigna
| Professional | $13.56 | $18.01 | $18.01 | |
Medica
| Facility | $19.94 | $33.22 | $60.00 | |
Medica
| Professional | $12.73 | $14.09 | $165.49 | |
United
| Professional | $11.75 | $14.09 | $21.22 |