| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $19.91 | $19.91 | $19.91 | |
Aetna
| Professional | $15.93 | $19.91 | $79.00 | |
BCBS
| Professional | $21.57 | $26.54 | $62.71 | |
Cigna
| Professional | $13.54 | $13.54 | $13.54 | |
Medica
| Facility | $19.91 | $33.18 | $68.98 | |
Medica
| Professional | $13.39 | $15.05 | $335.71 | |
United
| Professional | $11.72 | $14.06 | $23.95 |