| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $32.93 | $32.93 | $32.93 | |
Aetna
| Professional | $16.80 | $32.93 | $48.06 | |
BCBS
| Professional | $39.27 | $48.33 | $114.17 | |
Cigna
| Professional | $28.02 | $28.02 | $28.02 | |
Medica
| Facility | $32.93 | $54.89 | $99.13 | |
Medica
| Professional | $21.03 | $23.27 | $273.35 | |
United
| Professional | $17.76 | $23.27 | $35.04 |