| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $35.17 | $35.17 | $35.17 | |
Aetna
| Professional | $16.98 | $19.12 | $35.17 | |
BCBS
| Professional | $36.34 | $38.89 | $38.89 | |
Cigna
| Professional | $16.27 | $16.27 | $16.27 | |
Medica
| Facility | $17.67 | $27.52 | $47.12 | |
Medica
| Professional | $10.60 | $15.89 | $158.66 | |
United
| Professional | $10.60 | $15.89 | $22.79 |