| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $45.71 | $87.10 | $173.78 | |
Aetna
| Professional | $30.90 | $38.02 | $46.77 | |
BCBS
| Professional | $58.88 | $58.88 | $58.88 | |
Cigna
| Facility | $42.66 | $85.11 | $107.15 | |
Medica
| Facility | $38.02 | $46.77 | $63.10 | |
Medica
| Professional | $19.95 | $28.18 | $234.42 | |
United
| Facility | $19.95 | $46.77 | $56.23 | |
United
| Professional | $19.95 | $28.18 | $61.66 |