| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $25.57 | $25.57 | $65.75 | |
Aetna
| Professional | $25.57 | $25.57 | $25.57 | |
BCBS
| Professional | $54.99 | $73.61 | $82.19 | |
Cigna
| Professional | $42.13 | $42.55 | $53.50 | |
Medica
| Facility | $25.57 | $43.47 | $173.52 | |
Medica
| Professional | $12.66 | $29.47 | $62.10 | |
United
| Professional | $12.66 | $29.47 | $52.97 |