| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $10.74 | $14.99 | $20.26 | |
BCBS
| Professional | $19.25 | $19.25 | $25.50 | |
Cigna
| Professional | $10.65 | $10.65 | $27.15 | |
Medica
| Facility | $15.74 | $24.59 | $31.51 | |
Medica
| Professional | $8.51 | $12.16 | $142.29 | |
United
| Professional | $8.51 | $11.89 | $76.08 |