| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $37.94 | $37.94 | $37.94 | |
Aetna
| Professional | $37.38 | $37.94 | $37.94 | |
BCBS
| Professional | $74.58 | $74.58 | $74.58 | |
Cigna
| Professional | $43.49 | $43.49 | $43.49 | |
Medica
| Facility | $37.38 | $51.82 | $136.29 | |
Medica
| Professional | $24.08 | $48.64 | $397.13 | |
United
| Professional | $24.08 | $39.29 | $51.82 |