| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $37.19 | $37.19 | $37.19 | |
Aetna
| Professional | $17.95 | $24.42 | $37.19 | |
BCBS
| Professional | $36.86 | $36.86 | $36.86 | |
Cigna
| Professional | $13.74 | $13.74 | $13.74 | |
Medica
| Facility | $18.68 | $29.66 | $68.37 | |
Medica
| Professional | $11.20 | $16.80 | $256.19 | |
United
| Professional | $11.20 | $16.80 | $23.14 |