| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $26.81 | $26.81 | $26.81 | |
Aetna
| Professional | $18.97 | $23.50 | $26.81 | |
BCBS
| Professional | $34.46 | $40.74 | $41.76 | |
Cigna
| Professional | $42.75 | $43.18 | $54.29 | |
Medica
| Facility | $17.94 | $26.81 | $165.95 | |
Medica
| Professional | $14.69 | $18.23 | $29.81 | |
United
| Professional | $10.42 | $18.23 | $36.85 |