| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $23.57 | $23.57 | $23.57 | |
Aetna
| Professional | $11.38 | $12.81 | $23.57 | |
BCBS
| Professional | $23.36 | $23.36 | $23.36 | |
Cigna
| Professional | $8.71 | $8.71 | $8.71 | |
Medica
| Facility | $11.84 | $21.13 | $47.74 | |
Medica
| Professional | $7.10 | $10.64 | $210.25 | |
United
| Professional | $7.10 | $10.64 | $14.66 |