| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $36.81 | $36.81 | $36.81 | |
Aetna
| Professional | $31.10 | $31.10 | $36.81 | |
BCBS
| Professional | $48.15 | $56.35 | $57.32 | |
Cigna
| Professional | $60.00 | $60.60 | $76.20 | |
Medica
| Facility | $31.10 | $40.47 | $228.57 | |
Medica
| Professional | $20.85 | $29.39 | $43.00 | |
United
| Professional | $15.19 | $28.67 | $43.00 |