| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $28.80 | $781.79 | $781.79 | |
Aetna
| Professional | $28.80 | $32.86 | $36.00 | |
BCBS
| Professional | $26.78 | $31.61 | $32.06 | |
Cigna
| Professional | $30.60 | $33.00 | $41.25 | |
Medica
| Facility | $28.80 | $48.67 | $431.96 | |
Medica
| Professional | $30.00 | $30.00 | $162.00 | |
United
| Professional | $30.00 | $30.00 | $33.00 |