| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $22.36 | $22.36 | $35.82 | |
Aetna
| Professional | $20.43 | $24.16 | $60.97 | |
BCBS
| Professional | $39.89 | $47.96 | $52.58 | |
Cigna
| Professional | $30.77 | $45.64 | $68.56 | |
Medica
| Facility | $19.01 | $22.97 | $67.08 | |
Medica
| Professional | $22.74 | $41.84 | $250.96 | |
United
| Professional | $22.74 | $38.60 | $50.03 |