| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $30.28 | $30.28 | $30.28 | |
Aetna
| Professional | $25.26 | $25.26 | $30.28 | |
BCBS
| Professional | $39.36 | $46.07 | $46.87 | |
Cigna
| Professional | $48.00 | $48.48 | $60.96 | |
Medica
| Facility | $25.26 | $35.90 | $194.27 | |
Medica
| Professional | $17.39 | $24.86 | $37.29 | |
United
| Professional | $12.90 | $24.86 | $37.29 |