| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $37.36 | $109.93 | $123.87 | |
Aetna
| Professional | $37.36 | $37.36 | $44.01 | |
BCBS
| Professional | $33.70 | $40.68 | $41.27 | |
Cigna
| Professional | $34.61 | $34.96 | $43.96 | |
Medica
| Facility | $28.65 | $36.36 | $61.83 | |
Medica
| Professional | $42.33 | $46.48 | $49.16 | |
United
| Professional | $42.25 | $46.48 | $47.74 |