| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $18.75 | $143.82 | $143.82 | |
Aetna
| Professional | $18.75 | $23.87 | $192.80 | |
BCBS
| Professional | $44.52 | $53.96 | $60.56 | |
Cigna
| Professional | $30.98 | $31.28 | $39.34 | |
Medica
| Facility | $18.75 | $40.17 | $127.38 | |
Medica
| Professional | $11.81 | $29.47 | $45.53 | |
United
| Professional | $11.25 | $13.39 | $38.83 |