| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $36.63 | $36.63 | $36.63 | |
Aetna
| Professional | $16.57 | $19.91 | $36.63 | |
BCBS
| Professional | $36.31 | $36.31 | $36.31 | |
Cigna
| Professional | $13.54 | $13.54 | $13.54 | |
Medica
| Facility | $18.39 | $33.74 | $74.27 | |
Medica
| Professional | $11.03 | $16.55 | $335.71 | |
United
| Professional | $11.03 | $16.55 | $22.81 |