| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $45.23 | $45.23 | $45.28 | |
Aetna
| Professional | $45.22 | $45.22 | $50.65 | |
BCBS
| Professional | $75.28 | $91.24 | $102.39 | |
Cigna
| Professional | $52.04 | $52.56 | $66.09 | |
Medica
| Facility | $45.23 | $67.92 | $215.08 | |
Medica
| Professional | $27.14 | $45.23 | $65.58 | |
United
| Professional | $27.14 | $36.18 | $56.54 |