| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $22.64 | $22.64 | $22.64 | |
Aetna
| Professional | $10.93 | $16.39 | $22.64 | |
BCBS
| Professional | $22.45 | $22.45 | $22.45 | |
Cigna
| Professional | $8.36 | $8.36 | $8.36 | |
Medica
| Facility | $11.37 | $22.64 | $51.40 | |
Medica
| Professional | $6.82 | $10.24 | $344.54 | |
United
| Professional | $6.82 | $9.81 | $14.12 |