| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $30.92 | $35.36 | $35.36 | |
Aetna
| Professional | $14.40 | $24.30 | $35.36 | |
BCBS
| Professional | $65.12 | $74.25 | $87.35 | |
Cigna
| Professional | $29.03 | $36.14 | $36.86 | |
Medica
| Facility | $27.00 | $35.36 | $100.00 | |
Medica
| Professional | $28.09 | $33.15 | $70.03 | |
United
| Professional | $28.09 | $30.56 | $49.58 |