| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $18.98 | $18.98 | $48.80 | |
Aetna
| Professional | $18.98 | $18.98 | $25.48 | |
BCBS
| Professional | $45.07 | $54.63 | $61.31 | |
Cigna
| Professional | $31.39 | $31.70 | $39.86 | |
Medica
| Facility | $18.98 | $32.27 | $128.77 | |
Medica
| Professional | $11.39 | $27.11 | $46.09 | |
United
| Professional | $11.39 | $27.11 | $39.31 |