| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $36.69 | $36.69 | $36.69 | |
Aetna
| Professional | $17.71 | $19.94 | $36.69 | |
BCBS
| Professional | $37.93 | $40.56 | $40.56 | |
Cigna
| Professional | $13.56 | $13.56 | $18.01 | |
Medica
| Facility | $18.43 | $28.72 | $49.15 | |
Medica
| Professional | $11.05 | $16.57 | $165.49 | |
United
| Professional | $11.05 | $16.57 | $23.78 |