| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $21.73 | $21.73 | $21.73 | |
Aetna
| Professional | $10.49 | $11.81 | $21.73 | |
BCBS
| Professional | $21.54 | $21.54 | $21.54 | |
Cigna
| Professional | $8.02 | $8.02 | $8.02 | |
Medica
| Facility | $10.91 | $17.47 | $40.52 | |
Medica
| Professional | $6.54 | $9.82 | $157.25 | |
United
| Professional | $6.54 | $9.82 | $13.52 |