| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $16.34 | $16.34 | $16.34 | |
Aetna
| Professional | $13.63 | $13.63 | $16.34 | |
BCBS
| Professional | $21.12 | $24.72 | $25.14 | |
Cigna
| Professional | $25.88 | $26.13 | $32.86 | |
Medica
| Facility | $13.63 | $19.66 | $104.55 | |
Medica
| Professional | $9.38 | $13.80 | $20.70 | |
United
| Professional | $6.35 | $13.07 | $29.29 |