| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $31.10 | $31.10 | $31.10 | |
Aetna
| Professional | $24.53 | $24.53 | $31.10 | |
BCBS
| Professional | $36.84 | $43.11 | $43.86 | |
Cigna
| Professional | $45.00 | $45.45 | $57.15 | |
Medica
| Facility | $24.53 | $45.58 | $203.16 | |
Medica
| Professional | $16.88 | $25.87 | $38.81 | |
United
| Professional | $13.50 | $33.76 | $48.00 |