| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $19.59 | $19.59 | $19.59 | |
Aetna
| Professional | $16.27 | $16.27 | $19.59 | |
BCBS
| Professional | $25.33 | $29.65 | $30.16 | |
Cigna
| Professional | $30.75 | $31.06 | $39.04 | |
Medica
| Facility | $16.27 | $23.55 | $124.16 | |
Medica
| Professional | $11.20 | $16.23 | $24.35 | |
United
| Professional | $8.50 | $16.23 | $33.01 |