| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $30.56 | $30.56 | $78.56 | |
Aetna
| Professional | $30.56 | $41.03 | $46.68 | |
BCBS
| Professional | $65.70 | $87.95 | $98.21 | |
Cigna
| Professional | $50.39 | $50.39 | $73.97 | |
Medica
| Facility | $26.19 | $34.04 | $78.56 | |
Medica
| Professional | $26.19 | $63.29 | $87.30 | |
United
| Professional | $18.32 | $55.87 | $74.84 |