| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $37.15 | $37.15 | $37.15 | |
Aetna
| Professional | $28.84 | $43.65 | $57.54 | |
BCBS
| Professional | $74.13 | $74.13 | $74.13 | |
Cigna
| Professional | $43.65 | $43.65 | $43.65 | |
Medica
| Facility | $37.15 | $53.70 | $147.91 | |
Medica
| Professional | $23.99 | $40.74 | $398.11 | |
United
| Facility | $38.02 | $38.02 | $38.02 | |
United
| Professional | $23.99 | $38.02 | $51.29 |