| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $26.02 | $33.27 | $39.49 | |
Aetna
| Professional | $25.65 | $34.34 | $46.02 | |
Aetna
| Professional | 25 | $7.82 | $7.82 | $7.82 |
BCBS
| Professional | $53.43 | $62.86 | $62.86 | |
Cigna
| Professional | $37.99 | $57.00 | $144.43 | |
Medica
| Facility | $35.92 | $52.22 | $180.13 | |
Medica
| Professional | $38.86 | $44.75 | $62.19 | |
United
| Professional | $38.86 | $43.41 | $68.75 |