| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $17.48 | $17.48 | $35.52 | |
Aetna
| Professional | $15.99 | $29.05 | $41.92 | |
BCBS
| Professional | $40.11 | $49.45 | $98.83 | |
Cigna
| Professional | $25.22 | $52.74 | $117.40 | |
Medica
| Facility | $17.48 | $35.52 | $68.47 | |
Medica
| Professional | $36.45 | $63.56 | $251.37 | |
United
| Professional | $29.90 | $60.82 | $84.46 |