| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $45.14 | $45.14 | $45.14 | |
Aetna
| Professional | $38.13 | $38.13 | $45.14 | |
BCBS
| Professional | $55.45 | $64.89 | $66.01 | |
Cigna
| Professional | $67.50 | $68.18 | $85.73 | |
Medica
| Facility | $38.13 | $61.51 | $280.00 | |
Medica
| Professional | $26.25 | $43.87 | $64.02 | |
United
| Professional | $19.64 | $49.11 | $64.02 |