| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $47.82 | $47.82 | $47.82 | |
Aetna
| Professional | $33.83 | $41.92 | $47.82 | |
BCBS
| Professional | $61.46 | $72.66 | $74.47 | |
Cigna
| Professional | $76.13 | $76.89 | $96.68 | |
Medica
| Facility | $31.99 | $47.82 | $308.79 | |
Medica
| Professional | $26.18 | $32.52 | $53.15 | |
United
| Professional | $18.57 | $32.52 | $65.73 |