| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $69.37 | $165.50 | $305.73 | |
Aetna
| Professional | $9.00 | $9.36 | $18.39 | |
BCBS
| Professional | $15.60 | $20.79 | $23.34 | |
Cigna
| Professional | $11.98 | $12.10 | $15.21 | |
Medica
| Facility | $8.69 | $53.88 | $145.80 | |
Medica
| Professional | $5.12 | $12.38 | $17.70 | |
United
| Professional | $4.33 | $12.38 | $17.70 |