| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $20.21 | $20.21 | $20.21 | |
Aetna
| Professional | $12.26 | $20.21 | $29.66 | |
BCBS
| Professional | $21.89 | $26.94 | $63.66 | |
Cigna
| Professional | $13.74 | $13.74 | $13.74 | |
Medica
| Facility | $20.21 | $33.68 | $64.40 | |
Medica
| Professional | $13.58 | $15.27 | $256.19 | |
United
| Professional | $11.10 | $14.28 | $24.30 |