| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $26.92 | $36.31 | $43.65 | |
Aetna
| Professional | $25.12 | $33.88 | $58.88 | |
BCBS
| Professional | $58.88 | $81.28 | $109.65 | |
Cigna
| Professional | $72.44 | $93.33 | $141.25 | |
Medica
| Facility | $27.54 | $36.31 | $63.10 | |
Medica
| Professional | $42.66 | $72.44 | $302.00 | |
United
| Professional | $33.88 | $57.54 | $97.72 |