| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $42.04 | $42.04 | $42.04 | |
Aetna
| Professional | $20.29 | $22.84 | $42.04 | |
BCBS
| Professional | $43.44 | $46.48 | $46.48 | |
Cigna
| Professional | $19.44 | $19.44 | $19.44 | |
Medica
| Facility | $21.11 | $32.90 | $56.32 | |
Medica
| Professional | $12.66 | $19.00 | $189.59 | |
United
| Professional | $12.66 | $19.00 | $27.25 |