| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $30.20 | $40.74 | $79.43 | |
Aetna
| Professional | $16.98 | $40.74 | $131.83 | |
BCBS
| Professional | $64.57 | $85.11 | $100.00 | |
Cigna
| Professional | $50.12 | $50.12 | $64.57 | |
Medica
| Facility | $30.90 | $52.48 | $208.93 | |
Medica
| Professional | $12.59 | $21.88 | $74.13 | |
United
| Professional | $12.59 | $26.30 | $64.57 |