| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $27.32 | $27.32 | $27.69 | |
Aetna
| Professional | $10.96 | $16.22 | $27.32 | |
BCBS
| Professional | $22.06 | $28.01 | $30.76 | |
Cigna
| Professional | $12.80 | $12.80 | $12.80 | |
Medica
| Facility | $13.21 | $27.32 | $36.00 | |
Medica
| Professional | $14.34 | $21.66 | $148.97 | |
United
| Professional | $13.62 | $19.92 | $33.36 |