| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $31.09 | $31.09 | $31.09 | |
Aetna
| Professional | $23.66 | $28.85 | $31.09 | |
BCBS
| Professional | $42.32 | $50.04 | $51.28 | |
Cigna
| Professional | $52.50 | $53.03 | $66.68 | |
Medica
| Facility | $19.82 | $31.09 | $211.82 | |
Medica
| Professional | $17.16 | $22.39 | $34.90 | |
United
| Professional | $12.79 | $31.10 | $49.79 |