| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $15.44 | $15.44 | $15.44 | |
Aetna
| Professional | $12.82 | $12.82 | $15.44 | |
BCBS
| Professional | $19.50 | $22.82 | $23.22 | |
Cigna
| Professional | $23.63 | $23.86 | $30.00 | |
Medica
| Facility | $12.82 | $19.73 | $99.12 | |
Medica
| Professional | $8.83 | $14.36 | $21.55 | |
United
| Professional | $6.96 | $14.36 | $21.55 |