| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $30.31 | $30.31 | $30.31 | |
Aetna
| Professional | $25.16 | $25.16 | $30.31 | |
BCBS
| Professional | $37.65 | $44.07 | $44.84 | |
Cigna
| Professional | $45.75 | $46.21 | $58.10 | |
Medica
| Facility | $25.16 | $40.22 | $185.84 | |
Medica
| Professional | $17.05 | $23.68 | $35.52 | |
United
| Professional | $12.62 | $23.68 | $35.52 |