| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $48.37 | $48.37 | $48.37 | |
Aetna
| Professional | $34.21 | $42.39 | $48.37 | |
BCBS
| Professional | $62.16 | $73.50 | $75.31 | |
Cigna
| Professional | $77.25 | $78.02 | $98.11 | |
Medica
| Facility | $32.35 | $48.37 | $312.25 | |
Medica
| Professional | $25.84 | $30.93 | $53.77 | |
United
| Professional | $15.98 | $27.64 | $52.98 |