| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $22.91 | $102.33 | $309.03 | |
Aetna
| Professional | $21.88 | $53.70 | $91.20 | |
BCBS
| Professional | $24.55 | $33.88 | $107.15 | |
Cigna
| Professional | $25.12 | $69.18 | $107.15 | |
Medica
| Facility | $22.39 | $53.70 | $91.20 | |
Medica
| Professional | $63.10 | $95.50 | $478.63 | |
United
| Professional | $20.89 | $54.95 | $104.71 |