| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $20.89 | $28.84 | $54.95 | |
Aetna
| Professional | $20.89 | $28.84 | $93.33 | |
BCBS
| Professional | $45.71 | $61.66 | $69.18 | |
Cigna
| Professional | $35.48 | $35.48 | $44.67 | |
Medica
| Facility | $21.38 | $46.77 | $89.13 | |
Medica
| Professional | $12.88 | $16.22 | $52.48 | |
United
| Professional | $12.88 | $31.62 | $44.67 |