| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $13.53 | $16.16 | $19.38 | |
BCBS
| Professional | $10.14 | $14.38 | $17.89 | |
Cigna
| Professional | $15.77 | $15.77 | $15.77 | |
Medica
| Facility | $13.53 | $16.29 | $28.92 | |
Medica
| Professional | $16.43 | $21.20 | $113.84 | |
United
| Professional | $16.43 | $19.07 | $35.99 |