| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $21.75 | $21.75 | $21.75 | |
Aetna
| Professional | $17.94 | $17.94 | $22.14 | |
BCBS
| Professional | $27.96 | $33.04 | $33.88 | |
Cigna
| Professional | $37.13 | $37.50 | $47.15 | |
Medica
| Facility | $10.29 | $22.14 | $160.57 | |
Medica
| Professional | $11.91 | $14.92 | $24.86 | |
United
| Professional | $9.94 | $16.55 | $35.47 |