| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $16.01 | $16.01 | $16.01 | |
Aetna
| Professional | $7.73 | $8.69 | $16.01 | |
BCBS
| Professional | $15.88 | $15.88 | $15.88 | |
Cigna
| Professional | $5.92 | $5.92 | $5.92 | |
Medica
| Facility | $8.03 | $13.12 | $32.46 | |
Medica
| Professional | $4.82 | $7.24 | $127.21 | |
United
| Professional | $4.82 | $7.24 | $9.96 |