| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $23.99 | $32.36 | $63.10 | |
Aetna
| Professional | $22.91 | $25.70 | $32.36 | |
BCBS
| Professional | $51.29 | $70.79 | $79.43 | |
Cigna
| Professional | $39.81 | $39.81 | $50.12 | |
Medica
| Facility | $20.89 | $26.92 | $63.10 | |
Medica
| Professional | $14.79 | $41.69 | $70.79 | |
United
| Professional | $14.79 | $35.48 | $60.26 |