| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $30.20 | $34.67 | $34.67 | |
Aetna
| Professional | $18.20 | $28.84 | $39.81 | |
BCBS
| Professional | $39.81 | $53.70 | $58.88 | |
Cigna
| Professional | $54.95 | $54.95 | $69.18 | |
Medica
| Facility | $23.44 | $46.77 | $218.78 | |
Medica
| Professional | $18.62 | $22.91 | $47.86 | |
United
| Facility | $21.88 | $21.88 | $21.88 | |
United
| Professional | $16.22 | $23.99 | $51.29 |