| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $22.12 | $22.12 | $56.88 | |
Aetna
| Professional | $22.12 | $22.12 | $22.12 | |
BCBS
| Professional | $52.53 | $63.67 | $71.45 | |
Cigna
| Professional | $36.34 | $36.71 | $46.16 | |
Medica
| Facility | $22.12 | $37.60 | $150.10 | |
Medica
| Professional | $13.27 | $31.60 | $53.72 | |
United
| Professional | $13.27 | $31.60 | $44.24 |