| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $26.32 | $26.32 | $26.32 | |
Aetna
| Professional | $21.96 | $21.96 | $26.32 | |
BCBS
| Professional | $33.31 | $38.97 | $39.65 | |
Cigna
| Professional | $40.50 | $40.90 | $51.44 | |
Medica
| Facility | $21.96 | $33.43 | $167.12 | |
Medica
| Professional | $15.11 | $22.43 | $35.00 | |
United
| Professional | $11.51 | $22.43 | $33.64 |