| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $29.71 | $29.71 | $29.71 | |
Aetna
| Professional | $29.71 | $29.71 | $35.95 | |
BCBS
| Professional | $23.93 | $28.25 | $28.50 | |
Cigna
| Professional | $29.44 | $29.44 | $36.79 | |
Medica
| Facility | $29.71 | $30.39 | $89.13 | |
Medica
| Professional | $27.63 | $27.98 | $31.28 | |
United
| Professional | $25.44 | $27.98 | $35.79 |