| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $11.64 | $11.64 | $11.64 | |
Aetna
| Professional | $11.64 | $12.45 | $12.45 | |
BCBS
| Professional | $14.97 | $17.70 | $18.14 | |
Cigna
| Professional | $17.25 | $17.42 | $21.91 | |
Medica
| Facility | $5.85 | $12.45 | $80.00 | |
Medica
| Professional | $5.80 | $9.99 | $12.93 | |
United
| Professional | $5.22 | $9.99 | $18.44 |