| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $45.22 | $45.23 | $251.22 | |
Aetna
| Professional | $45.22 | $45.23 | $90.00 | |
BCBS
| Professional | $53.39 | $71.19 | $79.89 | |
Cigna
| Professional | $40.60 | $41.00 | $51.56 | |
Medica
| Facility | $35.33 | $53.00 | $173.90 | |
Medica
| Professional | $18.95 | $22.88 | $66.19 | |
United
| Professional | $14.84 | $22.88 | $63.15 |