| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $36.00 | $36.00 | $36.00 | |
Aetna
| Professional | $36.00 | $37.35 | $45.00 | |
BCBS
| Professional | $33.47 | $39.52 | $40.08 | |
Cigna
| Professional | $34.88 | $38.25 | $44.29 | |
Medica
| Facility | $36.00 | $46.80 | $64.13 | |
Medica
| Professional | $37.50 | $37.50 | $171.00 | |
United
| Professional | $37.50 | $37.50 | $53.01 |