| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $37.27 | $69.97 | $108.12 | |
Aetna
| Professional | $25.40 | $29.46 | $36.22 | |
BCBS
| Professional | $34.54 | $34.54 | $34.54 | |
Cigna
| Facility | $29.93 | $55.47 | $76.84 | |
Medica
| Facility | $27.09 | $33.86 | $45.55 | |
Medica
| Professional | $14.22 | $20.32 | $169.30 | |
United
| Professional | $14.22 | $20.32 | $50.79 |