| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $28.18 | $331.13 | $776.25 | |
Aetna
| Professional | $28.18 | $30.20 | $36.31 | |
BCBS
| Professional | $23.99 | $31.62 | $32.36 | |
Cigna
| Professional | $30.90 | $33.11 | $41.69 | |
Medica
| Facility | $28.84 | $48.98 | $436.52 | |
Medica
| Professional | $30.20 | $30.20 | $162.18 | |
United
| Professional | $30.20 | $30.20 | $33.88 |