| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $33.11 | $63.10 | $125.89 | |
Aetna
| Professional | $21.88 | $26.92 | $33.11 | |
BCBS
| Professional | $34.67 | $34.67 | $34.67 | |
Cigna
| Facility | $30.90 | $61.66 | $77.62 | |
Medica
| Facility | $26.92 | $33.88 | $45.71 | |
Medica
| Professional | $14.13 | $20.42 | $169.82 | |
United
| Facility | $14.13 | $33.88 | $40.74 | |
United
| Professional | $14.13 | $20.42 | $43.65 |