| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $18.57 | $18.57 | $18.57 | |
Aetna
| Professional | $8.97 | $12.20 | $18.57 | |
BCBS
| Professional | $18.43 | $18.43 | $18.43 | |
Cigna
| Professional | $6.87 | $6.87 | $6.87 | |
Medica
| Facility | $9.33 | $14.83 | $34.15 | |
Medica
| Professional | $5.60 | $8.39 | $127.21 | |
United
| Professional | $5.60 | $8.39 | $11.57 |