| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $27.84 | $27.84 | $27.84 | |
Aetna
| Professional | $20.42 | $25.31 | $27.84 | |
BCBS
| Professional | $35.79 | $42.32 | $43.37 | |
Cigna
| Professional | $46.13 | $46.59 | $58.58 | |
Medica
| Facility | $19.30 | $27.84 | $178.68 | |
Medica
| Professional | $15.25 | $19.09 | $30.95 | |
United
| Professional | $13.18 | $19.63 | $40.02 |