| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $19.89 | $19.89 | $19.89 | |
Aetna
| Professional | $11.15 | $19.89 | $24.66 | |
BCBS
| Professional | $25.05 | $30.88 | $36.33 | |
Cigna
| Professional | $12.80 | $12.80 | $20.87 | |
Medica
| Facility | $11.23 | $19.89 | $27.69 | |
Medica
| Professional | $14.47 | $25.00 | $146.80 | |
United
| Professional | $15.66 | $24.90 | $35.59 |