| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $24.55 | $46.77 | $93.33 | |
Aetna
| Professional | $16.98 | $19.95 | $25.70 | |
BCBS
| Professional | $25.70 | $25.70 | $25.70 | |
Cigna
| Facility | $22.91 | $45.71 | $56.23 | |
Medica
| Facility | $21.88 | $25.12 | $38.02 | |
Medica
| Professional | $10.47 | $16.60 | $125.89 | |
United
| Facility | $11.75 | $25.12 | $30.20 | |
United
| Professional | $10.47 | $15.14 | $31.62 |