| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $28.39 | $28.39 | $72.98 | |
Aetna
| Professional | $28.39 | $38.11 | $44.66 | |
BCBS
| Professional | $61.04 | $81.70 | $91.56 | |
Cigna
| Professional | $46.67 | $46.67 | $68.51 | |
Medica
| Facility | $24.33 | $30.82 | $72.98 | |
Medica
| Professional | $24.33 | $57.17 | $126.90 | |
United
| Professional | $17.03 | $47.76 | $62.37 |