| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $22.91 | $30.90 | $60.26 | |
Aetna
| Professional | $21.88 | $25.12 | $30.90 | |
BCBS
| Professional | $48.98 | $64.57 | $75.86 | |
Cigna
| Professional | $38.90 | $38.90 | $48.98 | |
Medica
| Facility | $20.42 | $25.70 | $60.26 | |
Medica
| Professional | $14.13 | $39.81 | $67.61 | |
United
| Professional | $14.13 | $34.67 | $57.54 |