| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $41.60 | $41.60 | $41.60 | |
Aetna
| Professional | $35.14 | $35.14 | $41.60 | |
BCBS
| Professional | $54.41 | $63.68 | $64.78 | |
Cigna
| Professional | $67.50 | $68.18 | $85.73 | |
Medica
| Facility | $35.14 | $45.76 | $258.29 | |
Medica
| Professional | $23.56 | $33.21 | $48.58 | |
United
| Professional | $14.59 | $32.39 | $69.41 |