| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $21.93 | $21.93 | $56.39 | |
Aetna
| Professional | $21.93 | $21.93 | $29.45 | |
BCBS
| Professional | $47.16 | $63.13 | $70.48 | |
Cigna
| Professional | $35.93 | $36.29 | $45.63 | |
Medica
| Facility | $21.93 | $37.28 | $148.82 | |
Medica
| Professional | $13.16 | $31.33 | $53.26 | |
United
| Professional | $13.16 | $15.98 | $45.43 |