| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $30.70 | $30.70 | $49.39 | |
Aetna
| Professional | $29.32 | $44.75 | $59.56 | |
BCBS
| Professional | $51.66 | $76.26 | $117.32 | |
Cigna
| Professional | $60.83 | $109.74 | $171.49 | |
Medica
| Facility | $28.13 | $42.34 | $69.97 | |
Medica
| Professional | $52.33 | $96.50 | $310.49 | |
United
| Professional | $52.33 | $92.50 | $128.46 |