| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $48.27 | $48.27 | $48.27 | |
Aetna
| Professional | $34.13 | $42.30 | $48.27 | |
BCBS
| Professional | $62.02 | $73.31 | $75.15 | |
Cigna
| Professional | $76.88 | $77.64 | $97.63 | |
Medica
| Facility | $32.29 | $48.27 | $311.58 | |
Medica
| Professional | $26.43 | $32.82 | $66.93 | |
United
| Professional | $18.76 | $32.82 | $52.86 |