| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $37.14 | $37.14 | $37.14 | |
Aetna
| Professional | $29.40 | $35.45 | $44.04 | |
BCBS
| Professional | $59.04 | $68.38 | $80.45 | |
Cigna
| Professional | $51.45 | $78.50 | $100.69 | |
Medica
| Facility | $28.07 | $37.14 | $49.53 | |
Medica
| Professional | $38.25 | $68.86 | $589.67 | |
United
| Professional | $38.25 | $68.13 | $92.48 |