| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $16.70 | $16.70 | $16.70 | |
Aetna
| Professional | $13.92 | $13.92 | $16.70 | |
BCBS
| Professional | $22.00 | $25.75 | $26.19 | |
Cigna
| Professional | $27.00 | $27.27 | $34.29 | |
Medica
| Facility | $13.92 | $18.50 | $109.28 | |
Medica
| Professional | $9.22 | $13.64 | $20.45 | |
United
| Professional | $6.49 | $13.64 | $20.45 |