| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $28.12 | $28.12 | $72.31 | |
Aetna
| Professional | $28.12 | $28.12 | $37.76 | |
BCBS
| Professional | $66.78 | $80.94 | $90.83 | |
Cigna
| Professional | $46.26 | $46.72 | $58.75 | |
Medica
| Facility | $28.12 | $47.80 | $190.81 | |
Medica
| Professional | $7.25 | $16.89 | $68.29 | |
United
| Professional | $7.25 | $17.78 | $58.25 |