| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $31.26 | $31.26 | $31.26 | |
Aetna
| Professional | $22.11 | $27.40 | $31.26 | |
BCBS
| Professional | $40.17 | $47.50 | $48.68 | |
Cigna
| Professional | $49.88 | $50.37 | $63.34 | |
Medica
| Facility | $20.91 | $31.26 | $201.75 | |
Medica
| Professional | $16.70 | $19.98 | $34.72 | |
United
| Professional | $14.26 | $30.36 | $53.27 |