| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $12.89 | $12.89 | $12.89 | |
Aetna
| Professional | $6.22 | $7.00 | $12.89 | |
BCBS
| Professional | $12.78 | $12.78 | $12.78 | |
Cigna
| Professional | $4.76 | $4.76 | $4.76 | |
Medica
| Facility | $6.47 | $12.58 | $27.02 | |
Medica
| Professional | $3.88 | $5.82 | $137.82 | |
United
| Professional | $3.88 | $5.82 | $8.02 |