| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $25.70 | $25.70 | $25.70 | |
Aetna
| Professional | $18.18 | $22.53 | $25.70 | |
BCBS
| Professional | $33.02 | $39.04 | $40.02 | |
Cigna
| Professional | $40.88 | $41.28 | $51.91 | |
Medica
| Facility | $17.20 | $25.70 | $157.81 | |
Medica
| Professional | $14.08 | $17.47 | $28.57 | |
United
| Professional | $9.98 | $14.98 | $28.15 |