| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $48.37 | $48.37 | $48.37 | |
Aetna
| Professional | $39.00 | $39.00 | $48.37 | |
BCBS
| Professional | $62.04 | $72.59 | $73.84 | |
Cigna
| Professional | $74.63 | $75.37 | $94.77 | |
Medica
| Facility | $39.00 | $56.70 | $309.02 | |
Medica
| Professional | $26.89 | $38.04 | $59.84 | |
United
| Professional | $18.09 | $31.93 | $59.84 |