| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $13.99 | $13.99 | $13.99 | |
Aetna
| Professional | $12.88 | $14.80 | $55.00 | |
BCBS
| Professional | $15.16 | $18.66 | $44.07 | |
Cigna
| Professional | $9.51 | $9.51 | $9.51 | |
Medica
| Facility | $13.99 | $23.32 | $55.84 | |
Medica
| Professional | $9.41 | $10.58 | $272.08 | |
United
| Professional | $8.24 | $9.88 | $16.47 |