| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $26.08 | $26.08 | $26.08 | |
Aetna
| Professional | $12.59 | $17.12 | $26.08 | |
BCBS
| Professional | $25.85 | $25.85 | $25.85 | |
Cigna
| Professional | $9.63 | $9.63 | $9.63 | |
Medica
| Facility | $13.10 | $26.08 | $56.62 | |
Medica
| Professional | $7.86 | $11.78 | $305.66 | |
United
| Professional | $7.86 | $11.78 | $16.23 |