| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $24.56 | $24.56 | $63.16 | |
Aetna
| Professional | $24.56 | $32.97 | $32.97 | |
BCBS
| Professional | $52.82 | $70.70 | $79.23 | |
Cigna
| Professional | $40.06 | $40.06 | $58.81 | |
Medica
| Facility | $21.05 | $27.37 | $63.16 | |
Medica
| Professional | $21.05 | $50.88 | $361.80 | |
United
| Professional | $14.74 | $35.79 | $60.18 |