| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $12.86 | $12.86 | $12.86 | |
Aetna
| Professional | $10.26 | $10.26 | $12.86 | |
BCBS
| Professional | $15.50 | $18.13 | $18.45 | |
Cigna
| Professional | $18.75 | $18.94 | $23.81 | |
Medica
| Facility | $10.26 | $18.30 | $80.00 | |
Medica
| Professional | $7.06 | $11.06 | $18.22 | |
United
| Professional | $5.21 | $9.11 | $18.22 |