| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $23.99 | $46.77 | $93.33 | |
Aetna
| Professional | $15.85 | $19.95 | $25.12 | |
BCBS
| Professional | $25.70 | $25.70 | $25.70 | |
Cigna
| Facility | $22.39 | $45.71 | $56.23 | |
Medica
| Facility | $19.95 | $25.12 | $33.88 | |
Medica
| Professional | $10.47 | $15.14 | $61.66 | |
United
| Facility | $10.47 | $25.12 | $30.20 | |
United
| Professional | $10.47 | $15.14 | $32.36 |