| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $23.93 | $23.93 | $61.54 | |
Aetna
| Professional | $26.82 | $28.39 | $28.60 | |
BCBS
| Professional | $57.70 | $68.89 | $77.31 | |
Cigna
| Professional | $39.24 | $39.63 | $49.83 | |
Medica
| Facility | $23.93 | $48.87 | $162.40 | |
Medica
| Professional | $15.64 | $41.03 | $58.12 | |
United
| Professional | $14.36 | $22.07 | $54.10 |