| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $32.36 | $43.65 | $85.11 | |
Aetna
| Professional | $30.90 | $34.67 | $43.65 | |
BCBS
| Professional | $69.18 | $93.33 | $107.15 | |
Cigna
| Professional | $53.70 | $53.70 | $67.61 | |
Medica
| Facility | $28.18 | $35.48 | $85.11 | |
Medica
| Professional | $19.95 | $56.23 | $93.33 | |
United
| Professional | $19.95 | $47.86 | $79.43 |