| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $22.94 | $22.94 | $58.99 | |
Aetna
| Professional | $20.00 | $27.85 | $49.15 | |
BCBS
| Professional | $49.52 | $66.03 | $74.09 | |
Cigna
| Professional | $37.58 | $37.96 | $47.73 | |
Medica
| Facility | $22.94 | $39.00 | $155.66 | |
Medica
| Professional | $13.76 | $32.77 | $55.71 | |
United
| Professional | $13.76 | $32.77 | $47.52 |