| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $27.57 | $27.57 | $27.57 | |
Aetna
| Professional | $13.31 | $15.21 | $27.57 | |
BCBS
| Professional | $27.34 | $27.34 | $27.34 | |
Cigna
| Professional | $10.19 | $10.19 | $10.19 | |
Medica
| Facility | $13.85 | $22.01 | $51.24 | |
Medica
| Professional | $8.31 | $12.46 | $197.89 | |
United
| Professional | $8.31 | $12.46 | $17.16 |