| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $78.30 | $78.30 | $78.30 | |
Aetna
| Professional | $19.04 | $24.23 | $77.43 | |
BCBS
| Professional | $35.90 | $45.59 | $45.82 | |
Cigna
| Professional | $23.54 | $23.54 | $29.43 | |
Medica
| Facility | $12.16 | $15.40 | $24.89 | |
Medica
| Professional | $24.31 | $55.58 | $166.58 | |
United
| Professional | $20.26 | $26.74 | $44.37 |