| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $39.34 | $39.34 | $39.34 | |
Aetna
| Professional | $16.80 | $17.53 | $39.34 | |
BCBS
| Professional | $50.57 | $59.79 | $61.27 | |
Cigna
| Professional | $62.63 | $63.25 | $79.53 | |
Medica
| Facility | $27.14 | $39.34 | $253.09 | |
Medica
| Professional | $21.55 | $28.32 | $47.74 | |
United
| Professional | $16.18 | $28.32 | $43.09 |