| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $25.12 | $25.12 | $33.11 | |
Aetna
| Professional | $16.98 | $30.20 | $33.11 | |
BCBS
| Professional | $25.70 | $34.67 | $35.48 | |
Cigna
| Professional | $36.31 | $36.31 | $45.71 | |
Medica
| Facility | $25.12 | $42.66 | $295.12 | |
Medica
| Professional | $17.38 | $32.36 | $54.95 | |
United
| Professional | $17.38 | $34.67 | $54.95 |