| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $26.50 | $265.57 | $265.57 | |
Aetna
| Professional | $24.17 | $26.98 | $131.72 | |
BCBS
| Professional | $48.25 | $58.02 | $63.61 | |
Cigna
| Professional | $37.33 | $55.36 | $83.18 | |
Medica
| Facility | $21.03 | $26.50 | $45.05 | |
Medica
| Professional | $27.43 | $48.95 | $158.99 | |
United
| Professional | $27.43 | $46.06 | $60.35 |