| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $11.37 | $11.37 | $11.37 | |
Aetna
| Professional | $5.49 | $7.46 | $11.37 | |
BCBS
| Professional | $11.28 | $11.28 | $11.28 | |
Cigna
| Professional | $4.20 | $4.20 | $4.20 | |
Medica
| Facility | $5.71 | $11.37 | $25.70 | |
Medica
| Professional | $3.42 | $5.14 | $173.14 | |
United
| Professional | $3.42 | $5.14 | $7.08 |