| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $29.54 | $29.54 | $64.95 | |
Aetna
| Professional | $31.35 | $35.39 | $64.95 | |
BCBS
| Professional | $64.39 | $64.39 | $64.39 | |
Cigna
| Professional | $31.73 | $31.73 | $31.73 | |
Medica
| Facility | $31.35 | $52.00 | $98.06 | |
Medica
| Professional | $19.55 | $29.35 | $298.10 | |
United
| Professional | $19.55 | $29.35 | $46.72 |