| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $12.55 | $12.55 | $12.55 | |
Aetna
| Professional | $6.06 | $8.21 | $13.83 | |
BCBS
| Professional | $12.44 | $12.44 | $12.44 | |
Cigna
| Professional | $4.63 | $4.63 | $4.63 | |
Medica
| Facility | $6.30 | $12.25 | $27.02 | |
Medica
| Professional | $3.78 | $5.67 | $137.82 | |
United
| Professional | $3.78 | $5.67 | $7.82 |