| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $41.69 | $41.69 | $75.86 | |
Aetna
| Professional | $41.69 | $41.69 | $50.12 | |
BCBS
| Professional | $56.23 | $81.28 | $95.50 | |
Cigna
| Professional | $48.98 | $48.98 | $61.66 | |
Medica
| Facility | $42.66 | $63.10 | $199.53 | |
Medica
| Professional | $17.78 | $42.66 | $72.44 | |
United
| Professional | $17.78 | $42.66 | $61.66 |