| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $30.08 | $30.08 | $30.08 | |
Aetna
| Professional | $30.08 | $31.21 | $37.60 | |
BCBS
| Professional | $30.36 | $35.85 | $36.36 | |
Cigna
| Professional | $31.96 | $31.96 | $43.54 | |
Medica
| Facility | $30.08 | $39.10 | $53.58 | |
Medica
| Professional | $37.60 | $37.60 | $251.75 | |
United
| Professional | $31.96 | $37.60 | $42.11 |