| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $25.58 | $25.58 | $25.58 | |
Aetna
| Professional | $19.93 | $25.58 | $97.00 | |
BCBS
| Professional | $27.72 | $34.11 | $80.59 | |
Cigna
| Professional | $17.39 | $17.39 | $17.39 | |
Medica
| Facility | $25.58 | $42.64 | $86.56 | |
Medica
| Professional | $17.20 | $19.34 | $418.74 | |
United
| Professional | $14.05 | $18.07 | $30.13 |