| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $23.98 | $23.98 | $51.05 | |
Aetna
| Professional | $22.27 | $48.19 | $62.56 | |
BCBS
| Professional | $52.60 | $101.77 | $135.69 | |
Cigna
| Professional | $33.29 | $68.27 | $139.75 | |
Medica
| Facility | $21.44 | $43.39 | $92.07 | |
Medica
| Professional | $51.61 | $105.46 | $326.08 | |
United
| Professional | $47.68 | $77.75 | $117.67 |