| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $33.11 | $125.89 | $190.55 | |
Aetna
| Professional | $15.14 | $15.85 | $51.29 | |
BCBS
| Professional | $25.12 | $34.67 | $38.90 | |
Cigna
| Professional | $19.95 | $19.95 | $25.12 | |
Medica
| Facility | $16.98 | $85.11 | $125.89 | |
Medica
| Professional | $7.24 | $8.71 | $29.51 | |
United
| Professional | $7.24 | $17.38 | $25.12 |