| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $18.30 | $18.30 | $18.30 | |
Aetna
| Professional | $8.28 | $9.86 | $18.30 | |
BCBS
| Professional | $18.14 | $18.14 | $18.14 | |
Cigna
| Professional | $6.76 | $6.76 | $6.76 | |
Medica
| Facility | $9.19 | $17.04 | $37.11 | |
Medica
| Professional | $5.52 | $8.27 | $167.85 | |
United
| Professional | $5.52 | $8.27 | $11.40 |