| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $24.50 | $24.50 | $63.00 | |
Aetna
| Professional | $24.50 | $32.90 | $52.50 | |
BCBS
| Professional | $52.68 | $70.53 | $78.75 | |
Cigna
| Professional | $40.06 | $40.06 | $58.81 | |
Medica
| Facility | $21.00 | $26.60 | $63.00 | |
Medica
| Professional | $17.85 | $42.00 | $70.00 | |
United
| Professional | $14.70 | $36.75 | $50.75 |