| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $26.95 | $26.95 | $26.95 | |
Aetna
| Professional | $26.56 | $26.95 | $26.95 | |
BCBS
| Professional | $52.93 | $52.93 | $52.93 | |
Cigna
| Professional | $30.86 | $30.86 | $30.86 | |
Medica
| Facility | $26.56 | $36.78 | $96.72 | |
Medica
| Professional | $17.09 | $34.52 | $282.11 | |
United
| Professional | $19.55 | $28.81 | $36.78 |