| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $15.14 | $22.91 | $79.43 | |
BCBS
| Professional | $25.70 | $26.92 | $37.15 | |
Cigna
| Professional | $14.13 | $14.13 | $14.13 | |
Medica
| Facility | $19.95 | $30.90 | $51.29 | |
Medica
| Professional | $11.48 | $12.02 | $141.25 | |
United
| Facility | $15.14 | $15.14 | $15.14 | |
United
| Professional | $11.48 | $11.48 | $16.22 |