| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $39.71 | $50.65 | $64.91 | |
Aetna
| Professional | 25 | $82.34 | $82.34 | $82.34 |
BCBS
| Facility | $11.25 | $42.00 | $73.59 | |
BCBS
| Professional | $28.47 | $41.42 | $52.93 | |
Cigna
| Professional | $43.67 | $61.80 | $99.84 | |
Medica
| Facility | $38.56 | $49.91 | $95.46 | |
Medica
| Professional | $54.87 | $78.56 | $376.47 | |
United
| Professional | $54.87 | $65.48 | $127.43 |