| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $11.94 | $11.94 | $11.94 | |
Aetna
| Professional | $5.76 | $7.84 | $11.94 | |
BCBS
| Professional | $11.84 | $11.84 | $11.84 | |
Cigna
| Professional | $4.41 | $4.41 | $4.41 | |
Medica
| Facility | $5.99 | $11.94 | $25.95 | |
Medica
| Professional | $3.60 | $5.39 | $167.85 | |
United
| Professional | $3.60 | $5.39 | $7.43 |