| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $12.56 | $12.56 | $16.42 | |
Aetna
| Professional | $12.56 | $12.56 | $16.42 | |
BCBS
| Professional | $15.78 | $16.25 | $19.12 | |
Cigna
| Professional | $19.88 | $20.07 | $24.84 | |
Medica
| Facility | $0.11 | $12.56 | $37.68 | |
Medica
| Professional | $8.61 | $14.35 | $27.50 | |
United
| Professional | $6.74 | $14.35 | $27.50 |