| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $39.14 | $39.14 | $39.14 | |
Aetna
| Professional | $32.65 | $32.65 | $39.14 | |
BCBS
| Professional | $50.69 | $59.32 | $60.35 | |
Cigna
| Professional | $61.88 | $62.49 | $78.58 | |
Medica
| Facility | $32.65 | $46.88 | $251.92 | |
Medica
| Professional | $22.47 | $32.99 | $49.49 | |
United
| Professional | $17.89 | $44.73 | $59.92 |