| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $20.36 | $20.36 | $68.31 | |
Aetna
| Professional | $20.36 | $20.36 | $26.24 | |
BCBS
| Facility | $64.33 | $87.24 | $126.36 | |
Cigna
| Facility | $135.54 | $135.54 | $135.54 | |
Medica
| Facility | $17.30 | $24.43 | $4,073.00 | |
Medica
| Professional | $20.67 | $26.15 | $50.75 | |
United
| Facility | $350.00 | $1,760.00 | $7,223.00 | |
United
| Professional | $19.92 | $24.90 | $39.42 |