| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $23.70 | $23.70 | $60.95 | |
Aetna
| Professional | $23.70 | $23.70 | $31.83 | |
BCBS
| Professional | $51.17 | $68.23 | $76.56 | |
Cigna
| Professional | $39.24 | $39.63 | $49.83 | |
Medica
| Facility | $23.70 | $40.29 | $160.84 | |
Medica
| Professional | $14.22 | $34.68 | $57.56 | |
United
| Professional | $14.22 | $17.37 | $49.10 |