| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $23.70 | $23.70 | $60.95 | |
Aetna
| Professional | $23.70 | $31.83 | $31.83 | |
BCBS
| Professional | $50.97 | $68.23 | $76.19 | |
Cigna
| Professional | $39.24 | $39.24 | $57.60 | |
Medica
| Facility | $20.32 | $25.73 | $60.95 | |
Medica
| Professional | $17.27 | $40.63 | $67.72 | |
United
| Professional | $14.22 | $34.54 | $57.56 |