| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $21.22 | $21.22 | $36.68 | |
Aetna
| Professional | $20.30 | $21.22 | $27.27 | |
BCBS
| Professional | $58.35 | $68.65 | $75.14 | |
Cigna
| Professional | $25.19 | $31.49 | $46.51 | |
Medica
| Facility | $18.01 | $27.59 | $39.26 | |
Medica
| Professional | $12.25 | $16.54 | $184.46 | |
United
| Professional | $11.74 | $14.88 | $44.49 |