| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $10.96 | $15.14 | $28.84 | |
Aetna
| Professional | $10.96 | $14.13 | $19.05 | |
BCBS
| Professional | $23.44 | $30.90 | $36.31 | |
Cigna
| Professional | $18.20 | $18.20 | $22.91 | |
Medica
| Facility | $11.22 | $19.05 | $75.86 | |
Medica
| Professional | $6.76 | $8.13 | $26.92 | |
United
| Professional | $6.76 | $15.85 | $23.44 |