| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $26.33 | $26.33 | $44.38 | |
Aetna
| Professional | $24.73 | $37.71 | $57.20 | |
BCBS
| Professional | $48.00 | $82.69 | $105.49 | |
Cigna
| Professional | $45.40 | $75.95 | $117.11 | |
Medica
| Facility | $26.33 | $44.76 | $162.02 | |
Medica
| Professional | $34.61 | $38.04 | $158.51 | |
United
| Professional | $34.61 | $38.04 | $44.75 |