| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $21.88 | $28.84 | $56.23 | |
Aetna
| Professional | $21.88 | $28.18 | $37.15 | |
BCBS
| Professional | $45.71 | $63.10 | $70.79 | |
Cigna
| Professional | $36.31 | $36.31 | $45.71 | |
Medica
| Facility | $21.88 | $38.02 | $151.36 | |
Medica
| Professional | $13.18 | $16.22 | $53.70 | |
United
| Professional | $13.18 | $31.62 | $45.71 |