| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $26.36 | $26.36 | $26.36 | |
Aetna
| Professional | $11.26 | $11.75 | $26.36 | |
BCBS
| Professional | $33.88 | $40.06 | $41.06 | |
Cigna
| Professional | $42.00 | $42.42 | $53.34 | |
Medica
| Facility | $18.18 | $26.36 | $169.60 | |
Medica
| Professional | $14.44 | $18.98 | $35.39 | |
United
| Professional | $10.85 | $16.27 | $28.87 |