| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $42.00 | $42.00 | $42.00 | |
Aetna
| Professional | $42.00 | $42.00 | $42.00 | |
BCBS
| Professional | $32.86 | $32.86 | $32.86 | |
Cigna
| Professional | $39.75 | $39.75 | $39.75 | |
Medica
| Facility | $42.00 | $44.10 | $93.49 | |
Medica
| Professional | $20.74 | $31.12 | $266.02 | |
United
| Professional | $20.74 | $31.12 | $51.86 |