| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $34.60 | $34.60 | $34.60 | |
Aetna
| Professional | $28.73 | $28.73 | $34.60 | |
BCBS
| Professional | $44.41 | $51.97 | $52.87 | |
Cigna
| Professional | $54.00 | $54.54 | $68.58 | |
Medica
| Facility | $28.73 | $42.40 | $219.96 | |
Medica
| Professional | $19.77 | $29.05 | $43.58 | |
United
| Professional | $15.17 | $37.92 | $43.58 |